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USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM Procurement and Supply Management
GHSC-PSM TASK ORDER 2 (MALARIA)
ANNUAL REPORT FISCAL YEAR 2019
OCTOBER 1, 2018–SEPTEMBER 30, 2019
The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project is funded under USAID Contract No. AID-OAA-I-15-0004. GHSC-PSM connects technical solutions and proven commercial processes to promote efficient and cost-effective health supply chains worldwide. Our goal is to ensure uninterrupted supplies of health commodities to save lives and create a healthier future for all. The project purchases and delivers health commodities, offers comprehensive technical assistance to strengthen national supply chain systems, and provides global supply chain leadership.
GHSC-PSM is implemented by Chemonics International, in collaboration with Arbola Inc., Axios International Inc., IDA Foundation, IBM, IntraHealth International, Kuehne + Nagel Inc., McKinsey & Company, Panagora Group, Population Services International, SGS Nederland B.V., and University Research Co., LLC. To learn more, visit ghsupplychain.org
DISCLAIMER: The views expressed in this publication do not necessarily reflect the views of the U.S. Agency for International Development or the U.S. government.
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Contents
Acronyms 3
Executive Summary 5
Objective 1: Improved Availability of Health Commodities (Global Procurement and Logistics) 5
Objective 2: Strengthened In-Country Supply Chain Systems 9
Objective 3: Effective Global Collaboration to Improve Long-Term Availability of Health Commodities 10
Organization of the Report 11
A. Improved Availability of Health Commodities 12
A.1 Enhancing Global Health Commodity Procurement 12
A.2 Strengthening Global Logistics Processes 19
A.3 Ensured Adherence to Quality Assurance Requirements 23
A.4 Improved Data Visibility 26
B. Strengthened In-Country Supply Chain Systems 29
B.1 Improved Strategic Planning and Implementation Related to Supply Chain Management and Commodity Security 31
B.2 Improved In-Country Logistics, Including Effective and Efficient Delivery of Health Commodities to Service Sites 35
B.3 Increased Capacity Building by Implementing Strategies to Transfer Skills, Knowledge, and Technology for Improved and Sustained Performance 38
B.4 Strengthened Enabling Environments to Improve Supply Chain Performance 40
B.5 HSCSS Indicators 45
C. Effective Global Collaboration to Improve Long-Term Availability of Health Commodities 46
C.1 Improved Strategic Engagement With Global Partners to Ensure Appropriate Strategic Coordination 46
C.2 Global Market Dynamics Research and Innovations Conducted, Shared and Implemented 50
C.3 Improved Awareness and Advocacy to Improve Availability of Essential Health Commodities 52
C.4 Improved Coordination and Collaboration Among Health Areas Within the IDIQ and Other USAID Global Health Supply Chain-Funded Activities 52
C.5 Coordination with Other Parts of GHSC 53
D. Performance Monitoring 55
D.1 Indicators 55
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D.2 TO2 Regular Meetings and Review 55
D.3 Other Monitoring 56
Acronyms
3PL third-party logistics
ACT artemisinin-based combination therapy
ALu artemether-lumefantrine
AMC average monthly consumption ARTMIS Automated Requisition Tracking Management Information System
ASAQ BI&A BMGF CAPeT
DFID
DHIS2
DNPM
DPML
DRC
eLMIS
EOI
ePOD
EMMP
EPIK
EPSA
EUV
FDA
FMoH
FASP
FY
GDSN
GH BEO
GHSC
GIS
GLN
GTIN
HF
HSCSS
ICT4D
IDIQ
IEE
artesunate-amodiaquine Business Intelligence and Analytics Bill and Melinda Gates Foundation Community Accountability Performance Tracking United Kingdom Department for International Development
District Health Information Software Version 2
National Directorate of Pharmacy and Medicines
Directorate of Pharmacies, Medicines and Laboratories
Democratic Republic of the Congo
electronic logistics management information system
expression of interest
electronic proof of delivery
Environmental Mitigation and Monitoring Plan
Environmental Protection, Information and Knowledge
Ethiopian Pharmaceuticals Supply Agency
end-use verification
Rwanda Food and Drugs Authority
Federal Ministry of Health
forecasting and supply planning
fiscal year
Global Data Synchronization Network™
Global Health Bureau Environmental Officer
Global Health Supply Chain
geographic information system
Global Location Number
Global Trade Item Number
health facility
health supply chain systems strengthening
Information and Communication Technologies for Development
indefinite delivery, indefinite quantity
Initial Environmental Examination
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IHSC
KPI
LLIN
LMIS
M&E
MIS
MOH
MOP
NAFDAC
NFO
NMCP
NSCA
OOS
OSPSANTE
OTD
OTIF
PCG
PMI
PPMRm
PSM
Q
QA
QC
QMS
RDC
RDD
RDT
RFHP
RHB
SCM
SDP
SMC
SOH
SOP
SP
SP/AQ
Integrated Health Supply Chain
key performance indicator
long-lasting insecticide-treated net
logistics management information system
monitoring and evaluation
management information system
Ministry of Health
Malaria Operational Plan
National Agency for Food and Drug Administration and Control
non-field office
National Malaria Control Program
National Supply Chain Assessment
out of specification
tracking tool for health products (French acronym) on-time delivery
on-time in-full
Pharmacy Central of Guinea
U.S. President’s Malaria Initiative
Procurement Planning and Monitoring Report – malaria
Procurement and Supply Management
quarter
quality assurance
quality control
quality management system
regional distribution center
requested delivery date
rapid diagnostic test
Regional Funds for Health Promotion
regional health bureau
supply chain management
service delivery point
seasonal malaria chemoprevention
stock on hand
standard operating procedure
sulfadoxine-pyrimethamine
sulfadoxine-pyrimethamine + amodiaquine
TA
TO2
TWG
TransIT
UNDP
UNFPA
WMS
WHO
technical assistance
malaria task order
technical working group
Transportation Information Tool
United Nations Development Programme
United Nations Population Fund
warehouse management system
World Health Organization
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Executive Summary
The USAID Global Health Supply Chain Program-Procurement and Supply Management (GHSC-PSM) project is pleased to present this annual report. It summarizes the project’s work and performance for
the malaria task order, Task Order 2 (TO2), for Quarter (Q)1, Q2, Q3 and Q4 of Fiscal Year (FY) 2019. This work contributes to the goals of the U.S. President’s Malaria Initiative (PMI) to reduce malaria deaths and substantially decrease malaria morbidity, toward the long-term goal of elimination.
GHSC-PSM procured malaria commodities for 30 countries and provided supply chain systems strengthening for malaria commodities in 22 countries in sub-Saharan Africa and the Greater Mekong sub-region of Southeast Asia. This report summarizes efforts to provide lifesaving commodities and to
build efficient, reliable and cost-effective health supply chains to deliver malaria products for PMI over this reporting period.
School children in Ghana receiving malaria long-lasting insecticide-treated nets (LLINs). Photo credit: GHSC-PSM.
Objective 1: Improved Availability of Health Commodities (Global Procurement and Logistics)
Procurement
In FY 2019, GHSC-PSM procured malaria commodities valued at more than $134 million for 30 countries.
The value of GHSC-PSM procurements of specific malaria product categories is shown in Exhibit 1.
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Exhibit 1. Value of procurements of malaria product categories in FY 2019
Product Category Value
LLINs $69,909,465
Artemisinin-based combination therapies
$24,901,930
Rapid diagnostic tests $16,827,150
Severe malaria medicines $10,839,259
Sulfadoxine-pyrimethamine (SP) $5,221,770
Other pharmaceuticals $380,160
Other nonpharmaceutical products $553,863
Laboratory $634,270
TOTAL $134,422,067
Market Health
GHSC-PSM continues to contribute to PMI’s efforts to improve global malaria commodity market health. Over the course of the project, GHSC-PSM conducted market health assessments for all products to
identify opportunities for market-shaping interventions. Based on these assessments, in FY 2019 the project focused on supporting market dynamics recommendations in the strategic sourcing process. For rapid diagnostic tests (RDTs) and artemisinin-based combination therapies (ACTs), the project focused
on supplier engagement and vendor negotiations for long-term agreements. The project developed strategies for request for proposals, including an LLIN tender. GHSC-PSM also established order allocation strategies that will incentivize affordability and market sustainability.
Strategic Sourcing
GHSC-PSM achieved important strategic sourcing gains:
RDTs For the first time, TO2 placed multiple bulk order allocations, wherein each supplier is given advance
notice of forthcoming orders that it will be requested to fulfill. In contrast to the prior approach, which used spot tendering on an order-by-order basis, the bulk order allocation process increases transparency for suppliers and reduces procurement lead time, thereby allowing for a more efficient
supply chain. The new approach was undertaken as part of implementing a new sourcing strategy that is
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focused on awarding suppliers with market share commensurate with the value provided to GHSC-PSM and improving the health of the RDT market.
Long-Lasting Insecticide-Treated Nets GHSC-PSM issued a request for proposals for the supply of LLINs,
including an option to provide vendor-managed inventory services. The new solicitation responds to fundamental changes in
the market for suppliers, product appropriateness and demand for next-generation products.
Fixed-Price Long-Term Agreements GHSC-PSM executed fixed-price long-term agreements with suppliers of a variety of artemisinin-based finished
pharmaceutical products, including artemether-lumefantrine (ALu), artesunate-amodiaquine, (ASAQ) and rectal artesunate.
The strategy underpinning these contracts was developed and executed in collaboration with the Global
Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and is designed to help stabilize the upstream artemisinin-market for these critical commodities. The project developed an allocation methodology and in FY 2019 began issuing bulk order allocations under this approved methodology,
designed to standardize and streamline procurement processes and decision making.
Sulfadoxine-Pyrimethamine GHSC-PSM issued a request for proposals for fixed pricing and bulk supply of SP, including an option to provide vendor-stored inventory services. The new solicitation responds to exceptionally long lead times
and fluctuations in pricing stemming from API insecurity, fractured market demand, and a proliferation of stock-keeping units.
Use of the Malaria Stockpile to Prevent Stock-outs GHSC-PSM used the PMI ACT stockpile, located in the project’s regional distribution center (RDC) in Belgium, to
fulfill emergency needs and avert stock-outs for ALu in six countries. Also, from the same Belgium warehouse, GHSC-PSM distributed SP to two countries and artesunate injectables to three countries, shortening wait times for delivery by several months in each instance.
Procurement Through Framework Contracts In FY 2019, 99 percent of ACTs, and 100 percent of all other pharmaceutical products, were procured
through framework contracts. Also, since Q2 100 percent of RDTs were procured through framework contracts. GHSC-PSM executed framework agreements for artemisinin-based finished pharmaceutical products and plans to sign a similar agreement for LLINs in FY 2020. Framework agreements reduce
transaction costs and improve predictability in the market by establishing relationships with vendors based on long-term contractual agreements.
Delivery
GHSC-PSM’s on-time delivery (OTD) window is –14/+7 days, which is 65 percent shorter than the –30/ +30 day OTD window used on predecessor projects. In Q3 FY 2019, GHSC-PSM achieved a 97 percent
Supplier Forecasts and Order
Allocations
In a first for TO2, for selected
commodity categories under allocation methodologies, GHSC-
PSM provided supplier-specific forecasts and started allocating orders in tranches. This increases
transparency for suppliers, enables forward-planning, and allows for a more efficient supply chain.
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OTD and an 88 percent on-time in-full (OTIF) delivery rate. In Q4, the OTD rate was 97 percent and OTIF was 91 percent, as shown in Exhibit 2. Annual OTD for FY 2019 was 95 percent.
Exhibit 2. Task Order 2: OTIF versus OTD
Logistics
Now an annual process, GHSC-PSM rebid contracts for third-party logistics (3PL) service providers that offer superior service and increase value through better data visibility and shorter delivery times at the
best price. The project re-competed contracts for all TOs for 1,945 lanes by air and 3,086 lanes by ocean, designating primary and secondary providers for each destination country. This allows GHSC-PSM to change providers quickly for reasons relating to performance, transit times, and/or freight rates for a
specific lane.
Mode of Transit Pilot
GHSC-PSM executed a mode of transit pilot for RDTs and select pharmaceutical commodities to explore ocean mode of transit as a potential cost savings measure for commodities other than LLINs and lab commodities. The results of this pilot helped to support a PMI policy change, issued in Q3 to expand the
scope of ocean shipments to include all product categories, subject to cost savings, quality assurance (QA), and feasibility consideration. GHSC-PSM is implementing this new policy in earnest in early FY 2020 with the MOP19 call for orders, with the expectation of significant cost savings.
Product Loss
GHSC-PSM experienced low product loss of malaria products under its control. In Q3 and Q4, $84,726 of
malaria products were lost due to expiry, while $20,512 of products were lost due to theft, damage or other causes while under project control, as shown in Annex G. The overall value of product lost (expiries, theft, damage, other) for FY 2019 was $280,941.
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Shelf life remaining for malaria products stored in project RDCs was 69 percent for Q3. This was a 3 percent increase from Q2 FY 2019. In Q4, shelf life increased to 79 percent, 9 percent above the project
target of 70 percent for this fiscal year. Note that this shelf life figure now only includes ACTs that are part of the emergency stockpile. Up until Q2 FY 2019, the shelf life calculation included orders transiting through the RDC as part of a country-specific fulfillment strategy.
Quality Assurance/Quality Control
In FY 2019, the project designed and implemented a customized Quality Assurance Management System (QAMS), in collaboration with PMI, and trained QA, Procurement and Deliver/Return teams in its. QAMS automates the process for capturing QA-related information for malaria commodity orders and improves tracking and reporting of orders’ QA status in the Automated Requisition Tracking Management Information System (ARTMIS). The system provides a comprehensive view of QC activities for orders procured for any malaria task order commodity and complements other tools to ensure OTD. By using a risk-based testing approach informed by careful analysis and evaluation of testing data, GHSC-PSM generated $345,722 in cost savings in testing ACTs. The project is exploring applying a risk-based approach to the RDT QC strategy and has submitted a proposal to PMI. No product recalls were reported during the FY 2019.
LLIN Manufacturer Issue
Early in Q2, GHSC-PSM learned of a systemic issue at the manufacturing-site level, affecting multiple
donors and resulting in several out-of-specification results for deltamethrin content in LLINs produced by a contracted manufacturer. The investigation revealed a deviation from the validated manufacturing process, resulting in, among other things, the likely need to replace LLINs manufactured under these
suspect conditions sooner than planned in affected countries.
The project reacted swiftly and collaborated with stakeholders to respond. GHSC-PSM continues to work closely with PMI to execute testing protocols for nets and is in communication with the manufacturer to
determine next steps. For a more detailed account of the project’s response to this issue, see section C.1.
Objective 2: Strengthened In-Country Supply Chain Systems
GHSC-PSM builds local supply chain capacity based on global best practices, addressing critical components of a sustainable supply chain. The project works to strengthen national supply chains and
improve malaria commodity availability in 22 TO2-supported countries. Technical support varies widely by country, with support as follows:
● Forecasting and supply planning (FASP) (in 20+ TO2-supported countries)
● Logistics management information systems (LMISs) (in 19 TO2-supported countries)
● Warehousing and distribution (in 17 TO2-supported countries)
● Strategy and planning (in 17 TO2-supported countries)
● Workforce development (in 12 TO2-supported countries)
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● Governance and leadership (in 11 TO2-supported countries)
● Process improvement (in five TO2-supported countries)
GHSC-PSM continues to see growth in supply plan submission from PMI-supported countries, reflecting
the expansion of the recommended technical approach through technical assistance interventions and frequent communication. An all-time high of 23 countries submitted malaria supply plans in Q3 FY 2019, and 22 countries submitted plans in Q4 FY 2019. PMI requires that all PMI countries submit supply plans
and GHSC-PSM is collaborating with PMI countries to support a 100 percent submission rate.
Work related to LMIS systems ranged from supporting the development of integrated and/or interoperable systems in Ghana, Guinea and Mali to identifying a local OpenLMIS vendor to provide
ongoing technical support to health facility end users in Malawi. GHSC-PSM is also working in countries such as Burundi and Ethiopia to systematize data quality system assessments to inform feedback loops with health facilities.
Warehousing and distribution support ranged from improving regional warehouse storage conditions in Cameroon and Ethiopia to installing solar-powered prefabricated warehouses in Malawi.
Workforce development activities ranged from delivering the fifth in a series of global webinars on supply chain professional workforce development for development partners and country governments
focused on career paths and professionalization to training teachers to conduct supply chain management courses in Burundi, to sharing results of the Theory of Change pilot conducted in Rwanda with the Ministry of Health and development partners. In total, 1,736 people were trained exclusively
with malaria task order funding on malaria specific supply chain issues.
In the second half of FY 2019, GHSC-PSM harmonized end-use verification (EUV) methodology and tools with actual use cases and created a standard package covering training, sampling, data collection,
validation, analysis and reporting. In FY 2019, 13 GHSC-PSM EUV implementing countries moved to the updated version of the survey, as have three GHSC-TA-Francophone Task Order countries and one IHSC-TA country.
Objective 3: Effective Global Collaboration to Improve Long-Term Availability of Health Commodities
GHSC-PSM supports USAID’s and PMI’s leadership and participation in important global supply chain
fora. The project also provides leading-edge research to help shape global markets for health commodities, share supply chain information with other donors and collaborators as a global good,
ensure that the GHSC-PSM supply chain stays current with emerging requirements, and effectively manage and share knowledge of best practices and lessons learned. The project:
● Is providing leadership in promoting use of GS1 standards in global and country supply chains.
This includes launching the TraceNet Working Group to develop identification, labeling and data
exchange procurement requirements for LLINs. The project also supported development of the
Call to Action presented by National Agency for Food and Drug Administration and Control at
the 2nd African GS1 Healthcare Conference. This initiative states the case for adopting global
standards for medicine traceability.
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● In accordance with market-based strategies developed with PMI, the Bill and Melinda Gates
Foundation, IVCC and MedAccess, formalized a mechanism through which Innovative Vector
Control Consortium (IVCC) will subsidize a portion of the cost of the nets paid for by PMI to
facilitate the purchase of dual AI nets by GHSC-PSM.
● Conducted market dynamics research and provided support related to establishing strategic
long-term agreements with suppliers to enhance ongoing procurement of antimalarials.
● Coordinated with other GHSC contracts, specifically the GHSC-QA, GHSC-Technical Assistance,
and GHSC-Business Intelligence and Analytics (BI&A) contracts.
● Maximized synergies among the four health areas supported by the GHSC-PSM contract.
● Participated in the Global Fund LLIN Supplier and Partner Meeting in Singapore where PMI,
UNICEF, World Health Organization, Vector Control and LLIN manufacturers/suppliers discussed
manufacturer quality requirements and allocation strategies for LLINs.
Overall, across three objectives in FY 2019, GHSC-PSM built on the previous efforts in its global supply chain and country program operations, innovating and implementing successful approaches. The project worked closely with PMI to establish priorities for work and contributed to malaria control efforts.
Emergency Response
On March 14, Cyclone Idai struck three PMI-supported countries: Malawi, Mozambique and Zimbabwe—with the most extensive impact in Mozambique. The project delivered nearly half a million
LLINs to these three affected countries to address the threat of malaria resulting from displaced persons not sleeping under LLINs. Also, in Mozambique, GHSC-PSM was the first to arrive to assess damage to
warehouses and commodities. Project staff worked with the central medical store (called CMAM) to develop new procedures to manage the flow of emergency supplies, process deliveries and manage their storage in temporary tents, and manage the pickup of supplies by emergency responders. In
Zimbabwe, GHSC-PSM supported emergency response efforts by helping get supplies to districts that were the most affected by the storm and in Malawi the project distributed LLINs to flood-affected areas.
Organization of the Report
This report describes GHSC-PSM’s activities and achievements under each of three objectives. In the appropriate sections, results are provided for applicable indicators from the project’s monitoring and evaluation (M&E) plan. The project’s Results Framework (Annex A), summary M&E plan (Annex B), and detailed reports of project performance on TO2 M&E indicators that are not elaborated in the text are
provided in a separate document (Annexes C–N).
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A. Improved Availability of Health Commodities
GHSC-PSM works to improve availability of health commodities through the procurement and delivery of commodities to supported countries. This is accomplished through enhanced commodity
procurement, strengthened global logistics processes, adherence to QA requirements, and improved data visibility. Activities and achievements in these areas are discussed and relevant performance indicators are summarized below.
A.1 Enhancing Global Health Commodity Procurement
Under the PMI-funded malaria task order (TO2), GHSC-PSM supplies lifesaving prevention and
treatment medicines, rapid diagnostic tests (RDTs), LLINs, and lab supplies. New processes allow the project to stagger deliveries, leverage data sources to increase visibility, and operationalize new allocation methodologies. New tools (see section A.4) are bringing multiple datasets together to
streamline and standardize order processes, automate decision making and increase collaboration with counterparts.
This section describes the project’s commodity procurement-related activities in relation to market
dynamics, strategic sourcing, routine procurement and delivery of malaria commodities, management of the artemether-lumefantrine (ALu) stockpile, management of supplier relationships and vendor negotiations, and support for countries managing their own procurements (referred to as decentralized
procurement).
GHSC-PSM Market Dynamics Analysis
On behalf of the U.S. President’s Malaria Initiative (PMI), GHSC-PSM contributes to shaping global malaria commodity markets to enhance supply security, accelerate innovation, and drive value for money. This supports near- and long-term PMI access to appropriate, quality-assured products at
sustainable price points.
GHSC-PSM is contributing to PMI’s efforts toward improving the global malaria commodity market health through a three-step approach:
1. Market health assessments for all products to identify market-shaping opportunities
2. Deep-dive analyses on priority products to design market-shaping interventions
3. Strategic sourcing and procurement activities to implement interventions and realize benefits
In FY 2019, GHSC-PSM focused on adopting market dynamics recommendations in its sourcing and procurement activities as described below.
Sourcing and Procurement Strategies
GHSC-PSM continued to advance strategies to achieve best value, increase supply chain efficiencies to
support on-time delivery, and support market health within product portfolios.
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● Long-term agreements (LTAs). The share of procurement managed under LTAs with key
suppliers increased in FY 2019 across all major product categories. As of early FY 2020, more
than 90 percent of task order spending will be performed under LTAs. Unlike individual
contracts and spot tendering, LTAs streamline procurement processes by leveraging agreed-
upon terms and conditions and allow for allocation strategies that help reduce the procurement
burden on the project and suppliers and support standardization in procurement decision
making. GHSC-PSM negotiated and signed its first fixed-price LTAs for artemisinin-based finished
pharmaceutical products in FY 2019. Under existing LTAs for essential medicines, GHSC-PSM will
execute fixed pricing and bulk procurements for sulfadoxine-pyrimethamine in early FY 2020. In
this market with a history of substantial price volatility and long lead times, these efforts will
help reduce tendering burdens on GHSC-PSM and its suppliers. Likewise, GHSC-PSM will execute
fixed-price long-term agreements with LLIN suppliers in early FY 2020, based on solicitations
issued in FY 2019. These framework agreements will enable an order allocation methodology to
procure first and next generation long-lasting insecticide treated nets in accordance with
country need.
● Vendor-stored inventory services. The project issued requests for proposals for creative
solutions to significantly reduce lead times and create flexibility to respond to time-sensitive
country needs. These proposals included vendor stored and managed inventory arrangements,
which are currently under assessment for potential future implementation across several
product categories, including ALu.
● Re-solicitation. The project periodically re-solicits pricing, product, and registration information,
keeping vendors abreast of project objectives for the product category and allowing suppliers to
generate offers that reflect market conditions and support market health.
● Supplier forecasts and order allocations. In a first for TO2, for select commodity categories
under allocation methodologies, GHSC-PSM provided supplier-specific forecasts and started
allocating orders in tranches. This increases transparency for suppliers, enables forward-
planning, and allows for a more efficient supply chain.
● Optimal order assignment. For select commodity categories, the project is allocating orders to
suppliers using a systematic approach in accordance with broader sourcing strategies and with
the help of automated decision support tools.
● Order integrity. A new, auto-populated order tracker leverages data from malaria operational
plans (MOPs), stock-on-hand1 and Pipeline to identify red flags or discrepancies.
● QA/QC testing. The project fully implemented a Quality Assurance Management System
(QAMS) that captures data for malaria commodity orders that require quality control (QC)
activities. (More on QA is provided in section A.3 below).
1 The stock-on-hand data comes directly from Pipeline and is reconciled with the most recent PPMRm report. Specifically, data are verified when an order is staggered to ensure that it aligns with consumption data and we are not causing a stockout.
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Supplier engagement and vendor negotiations
The project continues to engage with suppliers for all malaria task order commodities to support market
health and deepen our strategic relationships. Key activities in FY 2019 included:
● Supplier-specific forecasts. The project started generating and sharing supplier-specific
forecasts for select commodity categories to improve planning capabilities and manage
stakeholder expectations based on the project’s demand allocation approach.
● Supplier segmentation. In FY 2019, GHSC-PSM implemented new approaches to manage
supplier relationships and performance through segmentation based on critical factors such as
spend, volume and market risk. Tactical processes were operationalized to track and incentivize
operational performance, troubleshoot challenges, and negotiate and achieve best value for
recipient countries.
● Performance scorecards. The project’s quarterly meetings with malaria task order suppliers
now include performance reviews using scorecards that emphasize on-time performance and
rate incidents encountered based on severity and frequency, with the intention of encouraging
suppliers to implement corrective and preventative actions, to comply with GS1 standards and
to reinforce the importance of qualitative factors such as ease of doing business,
responsiveness and reporting. Performance metrics promote supplier performance
improvements while informing order allocation decision making. These efforts are positively
impacting the project’s overall supply chain performance.
● Supplier on-time delivery management. As of September 2019, supplier on-time performance
was tracking at 64 percent across all commodities, down from 75 percent in August 2019,
driven by a large lab order for Democratic Republic of the Congo that faced significant delays.
This was addressed through the implementation of corrective and preventative actions with
the supplier. Excluding the large lab order, which was delayed in September, overall supplier
performance was 79 percent for FY 2019.
Delivery
● Staggering deliveries. At the very end of FY 2019, the project started proposing staggered
delivery schedules for select products and countries based on potential freight savings and
projected stock-on-hand. The objectives are to provide a consistent, reliable supply of product
to countries, ensure the highest remaining shelf-life, enable more equitable use of emergency
loan funds, ease logistics constraints and strain on storage in-country, and to hedge against
potential changes in demand that are difficult to respond to if orders are placed in bulk for each
country rather than in staggered tranches. This approach will be implemented in earnest with
the MOP19 orders processed in early FY 2020.
● Using regional distribution centers. RDCs are used to pre-position and stockpile malaria
commodities and ensure flexibility and responsiveness for last-minute quantity changes and
delivery requirements. The project maintains an emergency stockpile of ALu, as well as an
annual stockpile of sulfadoxine-pyrimethamine + amodiaquine (SP/AQ) purchased as part of a
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pre-positioning strategy to ensure ready access to the product in time for seasonal malaria
chemoprevention (SMC) campaigns.
● Leveraging ocean freight. As per guidance from PMI, and building upon pilots in select
commodity categories, the malaria task order began evaluating all commodity categories for
potential cost-savings opportunities and exploring the feasibility of ocean as a mode of transit
with concurrent QC testing. This is a significant cost savings measure. Starting in FY 2020, the
project will assess every new order for ocean delivery based on urgency, quality considerations,
transit times and logistics feasibility, cost relative to air or truck as mode of transit, and
remaining product shelf-life.
These and other efforts supported specific sourcing activities for artemisinin-based finished
pharmaceutical products, SP/AQ, RDTs, SP and LLINs, as described below.
Strategic Sourcing Activities
Pharmaceuticals Building on the success of the sourcing strategy adopted in the
prior fiscal year, GHSC-PSM met the needs of all eight SMC campaigns while achieving commodity cost savings compared to the approach taken before implementing the new strategy. The
new strategy addresses growing demand and the limitations of constrained capacity by contracting directly with the manufacturer and using incremental, staged deliveries of SP/AQ
from an RDC to countries in accordance with planned SMC campaigns. The project also entered into an LTA with an additional SP/AQ supplier to further reduce supply risk and
secure production capacity with both vendors for FY 2020 to ensure availability of goods.
Other activities included:
● Awarding new multi-holder indefinite delivery, indefinite quantity (IDIQ) subcontracts with fixed pricing for artemisinin-based finished pharmaceutical products. This activity is part of a strategy
developed with USAID and the Global Fund to stabilize the upstream market for raw/intermediate starting material, promote sustainable pricing, and support long-term access
to a suite of critical antimalarial pharmaceutical products.
● Beginning to place orders under these LTAs and rolling out the project’s order allocation strategy. This strategy aims to determine best value by rewarding suppliers that invest in criteria that matter to GHSC-PSM and recipient countries with allocations that are commensurate with
the strength of their offers. Procurement will be carried out in accordance with this strategy over the course of FY 2020. These fixed-price contracts and the supporting allocation methodologies also serve to reduce sourcing and production cycle time.
● Posting an open expression of interest (EOI) for malaria pharmaceuticals. Through this EOI, suppliers can submit products for internal review with the potential to be included in new or
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existing LTAs following the procurement of all malaria pharmaceuticals in the supplier’s portfolio.
● Procuring 100 percent of all SP, a key preventative pharmaceutical for pregnant women,
through fixed price contracts in the first half of FY 2019. Previously, the project used framework
contracts that relied on spot tendering to establish pricing on an order-by-order basis. New fixed
prices in a market with a history of substantial price volatility and API insecurity will help reduce
tendering burdens for GHSC-PSM and its suppliers, reduce fulfillment lead-times, and stabilize
pricing. The modifications are expected to be executed before the end of Q1 FY 2020; the
project has begun informing vendors of their allocations.
LLINs In FY 2019, GHSC-PSM continued to advance the project’s sourcing, supplier relationship, and procurement goals. Highlights include:
● Posting an RFP for supply of LLINs with an option to provide vendor-stored inventory services.
The new solicitation responded to fundamental changes in the market for suppliers, product
appropriateness, and demand for next-generation products.
● Negotiating LTAs and fixed-price agreements with eligible suppliers, with awards expected in Q1
FY 2020, to ensure the quality and appropriateness of LLINs procured on behalf of recipient
countries.
The project also worked to help align global partners on quality standards and other priorities, participating in a Global Fund summit in September with all major LLIN suppliers and other procurers, and finalizing an agreement with the IVCC to make dual-active ingredient nets more affordable for
countries experiencing resistance to single pyrethroid-treated nets.
RDTs In accordance with the FY 2018 RDT strategy, GHSC-PSM's approach to RDT order allocation is contributing to better market health and cost savings through country-agnostic, fixed-price LTAs with suppliers. Project activities included:
● Placing multiple bulk order allocations, a first for the malaria task order, in FY 2019.
● Issuing a request for quotation from suppliers under contract in the second half of FY 2019 to
serve as a key input to the MOP19 allocation strategy. Re-solicitation keeps vendors abreast of
project objectives for the product category and allows them to create offers that reflect market
conditions.
GHSC-PSM’s FY 2020 allocation strategy increases emphasis on transparency, including the malaria task
order’s first use of supplier-specific forecasts to improve planning capabilities and to manage stakeholder expectations.
Countries for Which GHSC-PSM Procured Malaria Commodities
In FY 2019, GHSC-PSM procured malaria commodities valued at more than $134 million for 30 countries, as shown in Exhibit 3. This includes PMI’s first completed deliveries of malaria commodities for Sierra Leone and Niger.
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Exhibit 3. Countries for which GHSC-PSM procured malaria products in FY 2019
Procurement and end-to-end management of orders from receipt through on-time delivery and
payment require planning, open communication and careful coordination with a broad group of stakeholders both within and external to the supply chain and project at large. In FY 2019, GHSC-PSM devoted considerable attention to strengthening feedback loops and integration within the supply chain.
The team collaborated closely with external stakeholders, from USAID Missions to suppliers, logistics providers, customs agents and others. Project staff in headquarters and in country offices provide this
support. Also, headquarters staff continued to provide procurement support for five countries—Benin, Côte d'Ivoire, the Democratic Republic of the Congo (DRC), Senegal and Tanzania—where the project has no field presence.
Delivery Timeliness
GHSC-PSM achieved an on-time delivery (OTD) rate of 94 percent in Q1, 93 percent in Q2, 97 percent in
Q3 and Q4. On-time in-full (OTIF) rates of 89 percent, 92 percent, 88 percent and 91 percent for malaria commodities these four quarters, respectively. Project performance continues to be well over the target of 80 percent.
Response to Emergency Orders to Prevent Stock-Outs
In FY 2019, GHSC-PSM quickly responded to emergency orders for ALu, SP, and artesunate injectable. The project fulfilled urgent needs using produced and QC-tested commodities held in RDCs, which
reduced delivery and cycle times and helped prevent stock-outs. (See also section B.5.)
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Procurement Totals
GHSC-PSM procured malaria commodities worth just over $134 million in FY 2019, as shown in Exhibit 4. A detailed list of procurements is provided in Annex C. Annex D provides lists of GHSC-PSM sources of RDTs, LLINs, ACTs, laboratory supplies and other pharmaceutical products.
Exhibit 4. GHSC-PSM procurement totals for all of FY 2019
Product Category Value
LLINs $69,909,465
ACTs $24,901,930
Rapid diagnostic tests (RDTs) $16,827,150
Severe malaria medicines $10,839,259
Sulfadoxine-pyrimethamine (SP) $5,221,770
Other pharmaceuticals $380,160
Other non-pharmaceutical products $553,863
Laboratory $634,270
TOTAL $134,422,067
Managing the Malaria Stockpile
In the RDC in Belgium, GHSC-PSM maintains PMI’s malaria stockpile of a relatively small cache of ACTs for rapid allocation to countries based on need. In FY 2019, the project used the ALu stockpile to fulfill
emergency and urgent orders for six PMI countries that otherwise would have experienced stock-outs (see Exhibit 5).
Typical lead-time for ALu is 39 weeks from receipt of a requisition order to arrival in country, which includes production and QA lead times. The ALu stockpile maintains stringent regulatory authority–
approved product that is registered in most PMI countries, so products can be disbursed almost immediately (pending import waiver lead times), shortening the door-to-door delivery time to eight
weeks on average.
Exhibit 5 illustrates the shortened lead times of the stockpile compared to fresh production and the reduced lead times that could contribute to averting low-stock or stock-outs. On average, the stockpile allows for seven to nine months in reduction of cycle times for emergency orders, and two to five
months in reduction of cycle times for urgent orders that are placed with insufficient lead time for fresh production, but requested delivery dates (RDDs) can be met using stock.
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Exhibit 5. Use of malaria stockpile in FY 2019 and months of stock-out averted (ALu)
Country Order type
Order receipt
Requested delivery
Actual delivery
Estimated delivery date (if fresh production)
Reduced lead time
Benin Urgent Aug. 2018 Jan. 2019 Feb. 2019 May 2019 3 months
Guinea Emergency
Mar. 2018 ASAP Mar. 2019 Dec. 2019 9 months
Malawi Urgent Aug. 2018 Jan. 2019 Jan. 2019 Feb. 2019 1 months
Zimbabwe Emergency July 2018 Sept. 2018 Oct. 2018 April 2019 6 months
Zimbabwe Urgent Aug. 2018 Sept. 2018 Dec. 2018 May 2019 5 months
Senegal* Urgent Sept. 2018 Feb. 2019 May 2019 Jul. 2019 2 months
Cameroon** Urgent Oct. 2018 Feb. 2019 May 2019 Aug. 2019 3 months
*Stockpile or fresh production order placement delayed due to funding **Order was on hold until March 2019
In addition to the ALu stockpile GHSC-PSM maintains for emergencies, RDCs have become a staging
solution for other commodities. After the transfer of several large orders of artesunate injectable and SP (from countries that no longer needed the products) in Q1 and Q2 FY 2019 to the RDC in Belgium, GHSC-PSM managed a de facto stockpile of these commodities and fulfilled the following urgent and
emergency orders in four countries (Exhibit 6).
Exhibit 6. Q1–Q2 FY 2019 and lead time averted (other pharma)
Country Commodity Order Requested delivery
Actual delivery
Estimated delivery date (if fresh production)
Reduced lead time
Madagascar
Artesunate injectable
Apr. 2018 Jan. 2019 Dec. 2018
Feb. 2019 2 months
Madagascar
Sulfadoxine-pyrimethamine
July 2018 Feb. 2019 Jan. 2019
June 2019 5 months
Mozambique
Artesunate injectable
July 2018 Jan. 2019 Mar. 2019
May 2019 2 months
Niger Sulfadoxine-pyrimethamine
Feb. 2018 June 2018 Oct. 2018
Feb. 2019 4 months
Zimbabwe Artesunate injectable
Apr. 2018 Feb. 2019 Dec. 2018
Feb. 2019 2 months
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Procurement Indicators
GHSC-PSM has several indicators to measure its performance. Procurement results are summarized below, with details provided in Annex E. As shown in Annex E, GHSC-PSM has transitioned to procuring most malaria products through framework contracts.
In FY 2019, GHSC-PSM procured 99 percent of all ACTs and 100 percent of all other pharmaceutical products through framework contracts. Also, as of Q2, 100 percent of RDTs were procured through framework contracts. When aggregated across all product categories, the overall framework contracting percentage for FY 2019 was 46 percent, exceeding the target of 40 percent. The most significant outstanding product category for framework contract procurements is LLINs, which were still procured using non-framework agreements in FY 2019. This is expected to change in FY 2020, per the new LLIN sourcing strategy described in section A.1.
A.2 Strengthening Global Logistics Processes
GHSC-PSM delivered malaria commodities to 28 countries in Q3 and Q4 and 30 countries during the fiscal year. From late FY 2018 into early FY 2019, the project developed new approaches to strategic planning,
logistics, data visibility and capacity building, yielding a significant OTD improvement in FY 2019.
GHSC-PSM executed a mode of transit pilot for RDTs and select pharmaceutical commodities. In this initiative, PMI approved a subset of consignments to travel by ocean based on a subset of requirements (potential cost savings, origin, destination, quantity, remaining shelf life, etc.). The intent was to explore
this mode of transit as a potential cost savings measure for commodities other than LLINs and lab commodities, which have historically been the only categories approved for ocean shipment as per PMI policy.
For shipments that traveled by ocean, a temperature-monitored reefer container and data loggers ensured product quality while in transit. GHSC-PSM shipped numerous orders by ocean, and ultimately maintained high quality standards, reduced cost, and promoted efficient logistics practices. Results of
this pilot helped to support a PMI policy change, issued in Q3 FY 2019, that expanded the scope of ocean shipments to include all product categories, subject to cost savings, QA, and feasibility consideration. GHSC-PSM is implementing this new policy in earnest in early FY 2020 with the Malaria Operational Plan
(MOP) FY2019 call for orders. Significant cost savings are expected.
On-Time Delivery
GHSC-PSM’s on-time delivery window is –14/+7 days, which is 65 percent shorter than the –30/+30 day OTD window used for PMI products on predecessor projects. Exhibit 7 shows the project’s OTD rate for malaria commodities over the past four quarters. The OTD rate measures the number of line items with agreed delivery dates in the quarter delivered on time out of the total number of line items with agreed delivery dates in the quarter. In Q3 FY 2019, GHSC-PSM achieved 97 percent OTD: a 4 percent increase from Q2 FY 2019. In Q4, the project achieved 97 percent OTD.
To supplement information on TO2-wide OTD presented above, OTD and OTIF for specific malaria
product categories are presented in Annex F.
Exhibit 7. OTD and volume of deliveries of malaria commodities, Q1-Q4 FY2019
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GHSC-PSM’s OTIF rate measures the percentage of deliveries during a given period that were delivered on time and in full. Delivery of late orders in a month subsequent to the agreed delivery date drives down the OTIF rate, as can delivery of split shipments, which helps explain the difference between OTD
and OTIF rates. In Q3, OTIF for malaria commodities was 88 percent and in Q4, 91 percent. Over the course of FY 2019, GHSC-PSM’s OTIF rate for malaria commodities has remained steady despite a 22 percent increase in volume of deliveries from Q1 and Q2 to Q3 and Q4 (see Exhibit 8). The increase in
deliveries can in part be attributed to a deliberate effort to split orders into volumes and weights based on logistical and in-country warehousing constraints which allow for deliveries to be made within one on-time delivery window. Moving forward, with the implementation of staggered deliveries for select
commodity categories and countries, the trend is expected to continue.
189 203 264 207
94% 93%97% 97%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0
50
100
150
200
250
300
FY19Q1 FY19Q2 FY19Q3 FY19Q4
Task Order 2 OTD
Total number of line items with Agreed Delivery Dates in the quarter OTD
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Exhibit 8. OTIF for malaria commodities, Q1–Q4 FY 2019
Warehousing
GHSC-PSM continues to realize cost savings from consolidating RDCs from five to three in FY 2018 and negotiating discounted per-pallet warehousing rates. Since transitioning malaria task order commodities
to the Belgium RDC and using the new RDC in South Africa for Mozambique orders in FY 2019, the project has saved more than $500,000 for the malaria task order alone, compared to warehousing and freight costs for those commodities under the previous model.
GHSC-PSM continues to stock ALu in the Belgium RDC to support emergency and/or unplanned orders. With this process, the project can pre-position commodities for faster deployment to implementing partners and can have greater flexibility in country order quantities. On an ad hoc basis, the project can
accommodate supplier warehouse constraints related to QA or duty waiver lead times. In FY 2019, GHSC-PSM also pre-positioned products in the Belgium RDC to ensure availability and on-time delivery for time-sensitive seasonal malaria chemoprevention campaigns.
Logistics Contracts
In FY 2019, warehousing savings for TO2 were $576,260 and freight savings from RDC optimization were
$131,855. GHSC-PSM calculates these savings by comparing the costs of shipping and storing malaria commodities under the pre-optimization and post-optimization scenarios using established warehousing and freight rates. To calculate freight savings, GHSC-PSM looks at all inbound and outbound orders from
the RDCs since the optimization and compares them with the cost of sending them through the former warehouse network. Transportation savings were realized because the new distribution centers are located optimally along low-cost freight lanes between suppliers and destination countries.
3PL Recompetition to Seek Further Value A year after selecting 3PL service providers that could maximize value by providing better prices and
shorter delivery times, GHSC-PSM recompeted its contracts seeking further savings and efficiencies.
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Existing logistics service providers submitted updated rates, transit times and details on their door-to-door transportation services (air, sea and land), including duty waiver processing, export/import
clearance services, in-transit storage and accessorial services. Bidders provided refreshed rates for all TOs for:
● 1,945 lanes by air; each lane has six different weight categories across four
temperature gradients
● 3,086 lanes by ocean; each lane has four different container types across U.S.
flag/foreign flag requirements
Similar to FY 2018, GHSC-PSM analyzed more than 500,000 data points to compare 3PLs across the multitude of simulated demand scenarios for each combination of country, lane, temperature, weight and mode. Selection criteria included price, transit time and performance during the last year. The
project also considered USAID Mission and GHSC-PSM field office assessments of existing providers’ performance. In the contract awards, GHSC-PSM designated primary and secondary providers for each destination country, which allows the project to change providers quickly for reasons relating to
performance, shorter transit times and/or freight rates for a specific lane.
Logistics and Delivery Indicators This section presents performance on logistics- and delivery-related indicators that were not presented above. Values for these indicators are shown in Annexes F–H.
Product Loss GHSC-PSM experiences low product loss of malaria product under its control. In Q3 and Q4, $84,726 of malaria products under project control were lost due to expiry. Most of the loss was attributable to the
expiry of SP/AQ commodities in the RDC. The product was originally destined for a direct drop that was rerouted to the RDC for an extended quality test. By the time the testing was completed, the remaining shelf life was short. Though the project was able to use some of the commodities, the remainder were
destroyed.
The value of product loss due to theft, damage or other causes (other than expiry) while under project control totaled $20,512 in Q3 and Q4 FY 2019, as shown in Annex G. Of the nine claims made related to these losses, five were reimbursed by the 3PL or determined not to require reimbursement. The
remaining four claims are in process for reimbursement or replacement of the lost commodities.
Cycle Time Cycle time measures the end-to-end time from the USAID Mission requesting an order to the product’s arrival in the destination country. For Q4 FY 2019, the average cycle time was 322 days, which was 2.2
percent above the project’s FY 2019 target of 315 days for malaria products. Several factors can largely explain these cycle times:
● Anticipated high demand. In line with PMI policy and proactive preparation for seasonal
demand, a large volume of orders are placed simultaneously. This necessarily leads to extended
cycle times, as orders are often placed with delivery dates in the distant future that do not
necessitate the entirety of the time between order placement and requested delivery to process
and fulfill the order.
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● Challenging destinations. Many more lines were delivered during Q1 and Q2 to inland
destinations within the DRC with longer-than-average cycle times, which skews up the average.
● Cycle time as a lagging indicator. As a lagging indicator, cycle time does not capture
improvements in order processing until the orders subject to those improvements are finally
delivered.
● Factors outside the supply chain. Unavailability of funding (common for TO2 commodities),
country-specific import challenges (e.g., Kenya), supplier-specific quality issues, client-requested
holds, and in-country quantification continue to contribute to cycle times. In FY 2019, the
project piloted new hold status fields in ARTMIS to account for scenarios where no processing or
fulfillment activity is expected on an order. This type of tracking will allow GHSC-PSM to
calculate “active” cycle times that reflect actual processing time more precisely for any given
order. Following the pilot, the project adjusted and clarified the hold status policy, to take effect
in early FY 2020.
Shelf Life Remaining for Warehoused Commodities Shelf life remaining for malaria products stored in project regional distribution centers (RDCs) was 69 percent for Q3. This was a 3 percent increase from Q2 FY 2019. In Q4, shelf life increased to 79 percent,
9 percent above the project target of 70 percent for this fiscal year. Note that this shelf life figure now only includes ACTs that are part of the emergency stockpile, given PMI’s strategy to have ACTs (unlike other commodities) continuously available in the stockpile. Up until Q2 FY 2019, the shelf life calculation
included orders transiting through the RDC as part of a country-specific fulfillment strategy, which are done on an ad hoc basis.
GHSC-PSM tracks inventory and remaining shelf life closely and carefully balances risk of expiry with maintaining enough stock to respond to urgent and unforeseeable needs. As shelf life dwindles, the
project sends inventory reports to the client and recipient countries to generate awareness of stock on hand available to be offered. In-country stock reports are consulted to identify potential recipients.
Late-Order Line Items
The percentage of line items that are late orders decreased to just one percent in Q4 FY 2018 after hovering between 6 and 7 percent for much of the year. This trend continued into the second half of FY 2019 as the rate further decreased to just 3.4 percent in Q3 and 2.9 percent in Q4 FY 2019.
A.3 Ensured Adherence to Quality Assurance Requirements
GHSC-PSM is directly responsible for ensuring the quality of the malaria commodities delivered through a comprehensive quality assurance/quality control (QA/QC) program.
Quality Assurance/Quality Control
In FY 2019, GHSC-PSM implemented a customized Quality Assurance Management System (QAMS) and trained members of the project’s QA, Procurement and Deliver/Return teams in its use. QAMS automates the process of capturing and tracking QA-related information for malaria commodity orders that require QA through a new database that can project QC completion and track order performance against key performance indicators (KPIs) for any malaria task order commodity. The system improves
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tracking and reporting of QA order status through ARTMIS, described in section A.4 below, and provides a full view of QC activities for orders procured for any malaria task order commodity. GHSC-PSM delivered significant cost savings on testing artemisinin-based combination therapy (ACT) through carefully analyzing and evaluating testing data that
informed a risk-based testing strategy. GHSC-PSM performed a similar assessment of RDTs; a proposal is
currently under review by PMI.
The project reported cumulative savings of $345,723 in FY 2019 on testing costs for those products where the risk-based strategy was applied.
No product recalls were reported in FY 2019.
Quality Control
Pharmaceuticals Regulated by a Stringent Regulatory Authority Malaria pharmaceuticals regulated by a stringent regulatory authority do not require laboratory testing according to PMI-approved instructions. In lieu of testing, GHSC-PSM reviews the manufacturer's
certificate of analysis before shipment. In FY 2019, the project reviewed certificates of analysis for 16 batches of Coartem representing four Coartem products. The project found that all had satisfactory results and issued certificates of conformity for all batches.
Other Pharmaceuticals Qualified independent laboratories inspected, sampled and tested other pharmaceuticals—including
generic ALu, artemether injections, artesunate for injection, artesunate suppositories, generic ASAQ, SP tablets, SP/AQ tablets and various essential medicines—before shipment. Activities included:
● Performing 10 method transfers from suppliers to third-party testing laboratories. Transfers
included artesunate suppositories 100mg, ASAQ 100/270mg, SP/AQ 262.5/76.5mg, ALu
20/120mg, artesunate injectable 60mg and artemether 80mg injectables.
● Reviewing test reports from testing laboratories for more than 900 batches before releasing the
orders for distribution. Some were QC tested concurrently with shipment to ensure adherence
to delivery timing requirements.
During FY 2019, the project identified ASAQ product discrepancies from a manufacturer, which affected two orders totaling eight batches. GHSC-PSM maintained communication with the manufacturer and provided guidance for its investigation, after which the batches were rejected as a precaution as the length of the investigation hindered program needs. The project continued to advise the manufacturer
and is staying abreast of findings, including root-cause analysis of discrepancies and next steps.
LLINs
Early in Q2, GHSC-PSM learned of out-of-specification (OOS) results for deltamethrin content in LLINs produced by one manufacturer. The investigation revealed a deviation from the validated
manufacturing process, resulting in nets potentially needing to be replaced sooner than planned. The
Pre-shipment Testing of LLINs Speeds Result Availability
In FY 2019, GHSC-PSM managed pre-shipment inspection and testing for 63 orders
representing more than 36 million nets from five net vendors. The project reviewed the inspection reports and released all orders for
shipment concurrently with laboratory testing. Completed test results were available within five
to 20 working days (an average of 13 days) after receipt of samples in the laboratory.
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project reacted swiftly and collaborated with stakeholders to respond, completing a thorough LLIN market assessment and developing a customized mathematical optimization model to inform future
LLIN market risk assessments, support operational decision making and inform development of the new LLIN sourcing strategy. The project also initiated remedy negotiations with the manufacturer to maximize compensation for PMI, minimize disruption to PMI programs and ensure that PMI programs
receive effective replacement nets as soon as possible. A more detailed account of the project’s response is provided in section C below.
RDTs
In FY 2019, the project managed pre-shipment inspections and testing of 73 orders, representing 91.5
million RDTs from three vendors. The project reviewed all test results before clearing orders for shipment.
The project contracted a World Health Organization (WHO)-designated laboratory to support lot testing
of RDTs. Separately, another laboratory tested 42 batches for 18-month stability. Initial pre-shipment testing results were available 1 to 16 working days (an average of 11 days) after samples arrived at the laboratory; all results conformed to product specifications.
QA Indicators
In FY 2019, the project completed 84.5 percent of QA processes within estimated lead times in Q1, 80.3
percent in Q2, 74 percent in Q3, and 100 percent in Q4.
In Q2 and Q3, the project faced challenges in the turnaround time for QC testing. Delays were a result of an approximate 80 percent increase in workload in Q2 at the subcontracting laboratory compared with the previous quarter. This incident prompted TO2 QA to revisit its process of evaluating and choosing
testing laboratories to include an emphasis on lab capacity. Based on product volume, TO2 QA may allocate testing to two subcontracting laboratories with overlapping capabilities. One of these laboratories would function as back-up when the primary laboratory is at full capacity or may perform a
percentage of testing. In parallel to this strategy, TO2 QA is also providing support to subcontracting laboratories to assist them in building more efficient infrastructure. TO2 QA saw significant improvement in turnaround time and in Q4 FY 2019, lead times were met on 100 percent of the 97
orders in that quarter.
Scores for laboratory QA vendors fluctuated slightly throughout the fiscal year, and the percentage of QA investigation reports submitted within 30 days of outcome determination was 100 percent for all
products for FY 2019 against a target of 90 percent. GHSC-PSM continued its commitment to transparency in the quality of pharmaceuticals it procures.
Additional details of QA results are provided in Annex I.
Other Challenges and Solutions
In FY 2019, GHSC-PSM implemented QC checks between a third-party lab and a supplier to address a gap the project identified during routine testing of ASAQ. It implemented similar checks across other
method transfers as a preventative action in the process. The test method requires temperature control, which was initially omitted, resulting in OOS results. Going forward, method transfers will require
vendor verification to close gaps in the method and ensure accuracy, precision and reproducibility of
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method between manufacturer laboratories and the new GHSC-PSM database. This process will reduce the occurrence of OOS products due to method issues.
A.4 Improved Data Visibility
GHSC-PSM works to enhance visibility into supply chain data at all levels. At the global level, the project
uses and works to improve several key systems to synthesize critical information on order status and priorities, commodity flows, central-level stock, facility stock-out and other data important for decision making. At the country level, the project has introduced and continues to improve data visibility systems
that support effective management of commodities to improve public health.
ARTMIS
At the global level, visibility into GHSC-PSM procurement and delivery is provided through ARTMIS, the project’s information system, to understand order status and establish priorities. External users—such as PMI, other USAID and GHSC-PSM field office staff—can view important performance information on
procurement and delivery dashboards.
In FY 2019, the project continued efforts to enhance system efficiency, improve data quality and enable
greater visibility into its supply chain operations. By incorporating malaria QA data from Microsoft Excel
into ARTMIS, GHSC-PSM can now automatically pull order details into a web application and enter QA
detail, reducing manual administration and increasing transparency in the process. The QA detail is also
pulled into ARTMIS and is visible through the Report + Analyze module that supports management
discussions, detailed QA tracking for the malaria task order and general performance through KPIs. Since
KPI reports are presented quarterly, this automation is expected to yield significant efficiencies.
Other improvements to ARTMIS included:
● Adding requested delivery dates to the PDF printout of requisition orders.
● Adding dynamic updates of projected delivery dates based on shipment milestones to improve
delivery date estimates.
● Creating a batch selection report in the Report + Analyze module to track recalled items.
● Incorporating freight estimate calculations into Websphere Commerce Suite (WCS).
● Continuing work to automate the Order Promise Tool.
● Adding an automated feed from the 1WorldSync Global Data Synchronization Network™
(GDSN®) to update the GHSC-PSM catalog with attribute data for catalog items from network
suppliers.
End-User Verification
The EUV survey is a routine supply chain assessment for malaria; it also examines the diagnosis and treatment of malaria at the health facility level. Outputs include assessments on commodity availability,
stock management and storage conditions, case management practices, and other characteristics in a random sample of facilities.
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In the decade since its inception, stakeholders have come to rely on EUV data to address more complex questions. In the second half of FY 2019, and in consultation with USAID, GHSC-PSM harmonized the
methodology and tools with actual use cases and created a standard package covering training, sampling, data collection, validation, analysis and reporting. Previewed by PMI and other USAID stakeholders at an EUV summit in March 2019, the new EUV package now includes a standardized
questionnaire and site data collection tracker. Other elements of the package, to be implemented in FY 2020, are in process or under PMI review and include a survey protocol and guide, an analysis tool, a paper data collection tool and reporting templates, a sampling strategy guide, and training curriculum.
Over the course of FY 2019, 13 GHSC-PSM EUV implementing countries moved to the updated version of the survey, as have three GHSC-TA-Francophone Task Order countries (Benin, DRC, Senegal) and Côte d’Ivoire (IHSC-TA). Of the remaining countries, Burundi will move in January 2020, and Zimbabwe, which
uses its own version of the tool, has incorporated some elements of the revision.
Procurement Planning and Monitoring Report for malaria
The Procurement Planning and Monitoring Report for malaria (PPMRm) is a quarterly report that collects and provides data on central stock and security updates on key malaria commodities from PMI-supported countries. It is used to identify stock issues, including potential stock risks, and assist with
order prioritization and reconciliation.
By Q3 FY 2019, the PPMRm was managing data from 27 countries, with Niger and Sierra Leone joining in early in the year. In Q4, South Sudan stopped reporting in PPMRm due to closeout of malaria task order activities. Therefore, the number of reporting countries is now 26. Throughout the year, PPMRm information assisted in confirming overstocks and understocks, resulting in corrective actions such as delaying, reallocating or expediting shipments. For instance, in Q1, Mali identified an SP stock shortage due to a tranche expiring the previous quarter, leading GHSC-PSM to assess options for mitigating the stock risk, including offering SP from the stockpile. The country accepted the offer, and in May an order of 1.7 million tablets (equivalent to 5.9 months of stock) was delivered, relieving the shortage. Information from PPMRm continues to assist with order prioritization. For example, in Q3, due to risk of stock-out of ASAQ 25 mg/67.5 mg in Ghana, the project expedited an order to arrive in July 2019 to increase stock levels in time. In Nigeria, due to overstock of ASAQ, PMI shipments of ASAQ 100/270 mg 3 tablets and 6 tablets procured for Nigeria were transferred to Liberia. In Q4, due to risk of stock-out of ALu 6x1, the project in Guinea placed an emergency order and worked to accelerate its delivery. Varying levels of visibility into shipment information from other donors creates challenges for countries in forecasting and supply planning (FASP). GHSC-PSM works with ministries of health and other partners
to improve visibility into orders in the PPMRm to more accurately forecast country needs.
In early FY 2019, PMI and GHSC-PSM agreed to share data with other partners, such as Global Fund, to improve visibility into other donor shipments. PMI led PPMRm training with Global Fund staff, who now
have access to the report. Also, due to various levels of data visibility, countries have been reporting different levels of stock on hand (SOH) and different types of average monthly consumption (AMC), as these were not standardized. In Q4, the project helped PMI explore the possibility of standardizing the
report by conducting a survey with reporting countries. Results showed that 32 percent (8/22) of the
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countries have been reporting central and subnational warehouse SOH, and 86 percent (19/22) are ready to use forecasted AMC. This information continued to inform internal discussions with PMI on
whether to standardize the PPMRm report through the end of Q4.
TransIT
With engineering support from Arizona State University, in FY 2019 the project designed and introduced a low-cost,
easy-to-use cloud-based transport management system that increases visibility across country supply chains to
address last-mile delivery challenges.
TransIT tracks location, metrics, performance, loss, and cost of
commodities as they move through in-country distribution networks. An accompanying Android mobile
application allows drivers to upload shipment information and a GPS stamp of their location. The app stores
information off-grid and uploads it automatically when wireless and mobile networks are in range. An electronic
proof of delivery application confirms delivery through receipts that are signed and archived electronically.
So far, GHSC-PSM has used TransIT in Angola, Cameroon, and Mozambique. Highlights include:
● In Angola, the tool helped reduce the cost and amplify the visibility of 235 deliveries over a
three-month period, achieving 85 percent on-time delivery.
● In Cameroon, the tool informed route planning and other logistics for distributing more than 1.3 million LLINs to 153 health centers.
● In Mozambique, the tool tracked the geo-location of 64,700 LLINs delivered to 202 sites by 30 trained drivers.
Roads in rural Mozambique are almost impassable throughout the rainy season, which is also when mosquitoes abound. With TransIT, GHSC-PSM can track where deliveries are within the in-country distribution network, identify trends, and develop alternate route plans as needed. Photo credit: GHSC-PSM Mozambique
“The [GHSC-PSM] project seeks to modernize supply chain practices, adopt innovations and technologies that have become standard within the commercial supply chain, and improve end-to-end data visibility
throughout the entire supply chain.”
Mickael Breard Director of Warehousing and Transportation, Mozambique
GHSC-PSM
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B. Strengthened In-Country Supply Chain Systems
GHSC-PSM works to help build sustainable country capacity in providing the right health commodities where they are needed, when they are needed. Sustainability implies that local entities can manage an
effective and cost-efficient supply chain. The project’s health supply chain systems strengthening (HSCSS) ranges from providing training and technical assistance to host governments and other supply chain entities to—in a few cases—seconding staff to the government to support supply chain functions.
GHSC-PSM works to strengthen national supply chains and improve malaria commodity availability in 22 countries. The countries supported are shown in Exhibit 9 and listed in Exhibit 10
Exhibit 9. Countries receiving HSCSS support from GHSC-PSM with PMI funding
GHSC-PSM provides technical assistance to build local supply chain capacity based on global best practices, addressing critical components of a sustainable supply chain:
● Strategy and planning ● FASP ● Process improvement ● Warehousing and distribution ● LMIS ● Governance and leadership ● Workforce development
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The project’s technical assistance is provided by long-term staff in country offices and supplemented with short-term specialists from headquarters.
The extent of GHSC-PSM’s HSCSS varies widely by country. Exhibit 10 shows the technical elements
included in TO2 country work plans for FY 2019. The sections below feature examples of GHSC-PSM support in these areas and select achievements over the year.
Exhibit 10. PMI-funded HSCSS technical assistance by country
Country Strategy & Planning
FASP Process Improvement
Warehousing & Distribution
LMIS Governance & Leadership
Workforce Development
M&E
Angola x x x x x
Burkina Faso x x x x x
Burma x x x x x x x
Burundi2 x x x x
Cambodia x x x
Cameroon x x x x x x
Ethiopia x x x
Ghana x x x x x
Guinea x x x x x x x
Liberia x x x
Malawi x x x x x x x
Mali x x x x
Mozambique x x x x x x
Niger x x
Nigeria x x x x x x
Rwanda x x x x x
Sierra Leone x x x x
South Sudan2 x x x x
Thailand x x x
Uganda x x x x
Zambia x x x x x x x
Zimbabwe x x x x x x
B.1 Improved Strategic Planning and Implementation Related to Supply Chain Management and Commodity Security
Forecasting and Supply Planning Technical Assistance
In FY 2019, GHSC-PSM continued to provide technical assistance to develop and validate supply plans, aggregate commodity demand, and evaluate and reconcile seasonal demand with orders. GHSC-PSM’s sustained efforts to support country supply planning is resulting in more countries becoming more self-
reliant in executing this critical activity.
2 Burundi and South Sudan malaria programming is supported by USAID.
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Countries use supply plans, which analyze quantities of commodities that should be ordered in a specified timeframe, to help ensure continuous product supply. Supply plans also inform GHSC-PSM
order planning, strategic sourcing and regional distribution center stocking decisions. Supply plan reviews ensure that the plans are procurement ready to drive continuous commodity availability.
To automate the review process, GHSC-PSM developed the Supply Plan Automation (SPA) tool. This tool pulls relevant datasets from the PipeLine supply planning software and assesses the plans against 16 criteria related to country planning, procurement, tool usage and data quality. Use of the tool slashes
the review time per plan from 1 to 2 hours to minutes. It also allows key individuals—country directors/FASP leads in country, and PMU directors—to track country supply planning performance through an integrated dashboard.
Following the supply plan auto-review, SPA generates immediate feedback, flagging issues/discrepancies
based on 16 standard criteria. Field teams can then make quick corrections to their supply plans before submitting them to the home office. In FY 2019, nine PMI countries were using the tool to review their data more critically and make improvements independently, deepening their insight into and
understanding of data inputs and improving their ability to promote availability of commodities in their countries.
Exhibit 11. Supply planning submissions and technical reviews
GHSC-PSM continues to see growth in the submission of supply plans from PMI priority countries (those required to submit a malaria supply plan), reflecting expansion of the project’s recommended approach
through technical assistance interventions and frequent communication. An all-time high of 23 countries3 submitted malaria supply plans in Q3 FY 2019, and 22 countries submitted plans in Q4 FY
3 Countries include Angola, Benin, Burkina Faso, Burma, Burundi, Côte d’Ivoire, DRC, Ethiopia, Ghana, Guinea, Kenya, Liberia, Malawi, Mali, Mozambique, Nigeria, Rwanda, Senegal, Sierra Leone, Tanzania, Uganda JMS, Zambia, and Zimbabwe submitted in Q3 FY 2019. All except Senegal submitted again in Q4 FY 2019.
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2019. PMI and GHSC-PSM continue to push toward a 100 percent submission rate for all 28 PMI-supported countries that are required to submit malaria commodity supply plans.
Supply Planning Technology
GHSC-PSM also contributed key modifications to tools used by country programs to forecast and
develop supply plans. The project made improvements to Quantimed and PipeLine to enable users to migrate inventory, consumption and shipment data to the GHSC-PSM catalog nomenclature. This, in turn, merges supply plan data seamlessly with GHSC-PSM procurement and delivery information. The
improvement in data governance allows all country supply plans to be aggregated for analysis and will support the use of the Early Warning System technology to provide visibility into stock risks for malaria products.
Forecasting and Supply Planning Technical Assistance
In FY 2019, the project assisted in forecasting and supply planning in over 20 countries. Examples of
support follow.
Burundi In FY 2019, GHSC-PSM conducted a supply planning review to assess expiration risks for two formulations of ASAQ tablets. Based on the findings, the country determined that additional
procurements were not needed and instructed staff to closely monitor consumption to prevent potential expiries.
Ethiopia The project supported the Federal Ministry of Health (FMoH) and the Ethiopian Pharmaceuticals Supply Agency (EPSA) in identifying the risk of a stock-out of artesunate injectable during a quarterly supply
planning workshop. As a result, the EPSA accelerated delivery of an artesunate injectable shipment to mitigate the risk. FMoH and EPSA are becoming increasingly capable of completing their own quarterly procurement quantification exercises to ensure reliable supply.
Guinea The project worked with Guinea’s National Malaria Control Program (NMCP) to facilitate a workshop to analyze and validate stock levels, consumption and shipment data that revealed that three of four ALu formulations and RDTs were understocked. As a result, the country adjusted their supply pipeline to
ensure continuous commodity availability. Delivery schedules were also accelerated to avert potential stock-outs.
Mali The project collaborated with the malaria technical working group to project the usable and unusable ALu 6x1 and 6x2, normally used in children, for each facility from the central warehouse to the service
delivery point level based on stock-on-hand, shelf-life and projected consumption. The NMCP then issued a circular to regions and districts advising them to use ALu 6x1 and 6x2 to treat adolescents and adults to avoid expiries. This action will save approximately 292,972 blister packs of ALu 6x1 and
204,148 blister packs of ALu 6x2 worth more than $179,000.
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Logistics Management Information Systems Technical Assistance
In FY 2019, the project provided assistance in LMIS design and implementation in 21 countries. Examples of support follow.
Burundi GHSC-PSM supported the Directorate of Pharmacies, Medicines and Laboratories (DPML) in improving
the use of paper-based LMIS tools and organized quarterly meetings to review LMIS data. The project also collaborated with the DPML and other national counterparts to conduct a logistics data quality audit (DQA) in 54 health facilities. The DQA team found that overall data quality for malaria
commodities was good. The DQA results will inform prioritization of ongoing support by national counterparts and partners. The exercise also built the capacity of DPML, who will lead the 2020 DQA. Also, the project helped DPML assess the LMIS design, resulting in the creation of a national electronic
logistics management information system (eLMIS) strategy.
Cambodia The project supported the National Centre for Parasitology, Entomology and Malaria Control (CNM) to
develop a logistics management module in CNM’s Malaria Information System as an interim stock and consumption data reporting mechanism while the government completes development of an eLMIS.
Ghana The project continues to support Ministry of Health and Ghana Health Services (GHS) to implement the
Ghana Integrated LMIS (GhiLMIS) that will provide quick access and visibility to critical supply chain data for reporting and decision making. The support includes: on-boarding facilities onto the system, providing supportive supervision and on-site assistance to strengthen facility capacity in the use of the
system, auditing data quality to ensure data integrity and validity, working with relevant stakeholders to strengthen system governance, promoting data-driven decision making, and establishing a help desk to
support users during the GHiLMIS rollout. The project completed the rollout of GHiLMIS to the central warehouses, 10 regional medical stores and four teaching hospitals in FY 2019. Rollout to the 299 planned facilities was completed in 2019, including 217 hospitals, nine health centers, 57 polyclinics, five
teaching hospitals, 10 reginal medical stores, and a central warehouse.
Guinea GHSC-PSM helped facilitate development of an implementation plan for interoperability between the country’s District Health Information Software Version 2 (DHIS2) and eLMIS through an MOH workshop
with technical partners to define functional requirements, map master lists in the two systems, and identify needed reports and dashboards. By Q4, the project assisted the MOH through the Bureau de Stratégie et Dévelopment (BSD) and Direction Nationale de la Pharmacie et du Medicament (DNPM) to
successfully test the interoperability system including the use of a Fast Healthcare Interoperability Resources (FHIR) as a standard specification for representing and exchange of data between DHIS2 and
eLMIS. GHSC-PSM also supported the finalization of the updated standard operating procedures (SOPs) for integrated logistics management of health commodities in Guinea that was approved by the MOH. The project also initiated a training of 34 trainers from the central level and 34 supply chain staff from
the region of Kankan on the revised SOPs. When in use, the SOPs will further streamline operations of the Guinea public health supply chain at all levels, building on past successes while accommodating changes and enhancements required for successful implementation.
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Also, GHSC-PSM supported resumption of the use of the country's upgraded warehouse management system at central and regional levels by addressing system and user-reported issues resulting from the upgrade. After GHSC-PSM provided Pharmacy Central of Guinea (PCG) training to facilitate remote transfer of data, the country completed its first data centralization operation from all regional depots to the main warehouse. Remote data transfer has eased reporting challenges for regional depots and enabled the country to compile, analyze and produce reports for stakeholders more quickly.
Malawi GHSC-PSM assisted the MOH in engaging a local vendor to provide technical support to the end users of OpenLMIS. This will contribute to sustainability of system support in managing logistics data for malaria
and other health programs. OpenLMIS is now used in 79 health facilities (approximately 11 percent of health facilities) in Malawi, including five central hospitals, 28 district hospitals and 46 health facilities (21 government and 25 Christian Health Association of Malawi (CHAM)). This follows the effort of
identifying and training CHAM health facilities (in addition to the government public health facilities) that have the resources to implement OpenLMIS (i.e., having functioning computers, internet connection and staff who are computer literate).
Mali
In Mali, GHSC-PSM supported the interoperability of DHIS2 and OSPSANTE, the tracking tool for health products, to improve visibility and quality of data for malaria and other commodities. The project also
provided desk support to keep the OSPSANTE tool running properly. GHSC-PSM supported the training of 29 participants from the north regions (Gao, Menaka, Taoudeni and Timbuktu) on LMIS SOPs, including paper-based LMIS, OSPSANTE and its interoperability with DHIS2 (malaria commodity data
were entered in DHIS2 and transferred to OSPSANTE for data aggregation and reporting). The reporting rate was above 95 percent in FY2019.
Improved Data Use
In addition to LMIS development, the project helps countries improve data quality and use. Country-
level activities are designed to maximize innovation while ensuring data quality, skills transfer and development, and making LMIS more useful for decision making. Country examples follow.
Burkina Faso
GHSC-PSM helped increase supply chain visibility through improved stock management and reporting by training 345 health facility head nurses on SOPs for the country’s integrated LMIS. Nurses will now join storekeepers as users of LMIS tools. Also, the project supported the National Public Health School in
completing the review of its training curriculum that integrates LMIS SOPs for nurses.
Malawi The project is formalizing a new initiative with the NMCP to improve data accountability and reporting at service delivery points. The initiative, known as Commodity Accountability Performance Tracking
(CAPeT), identifies the cause for discrepancies between measured consumption (LMIS) and reported malaria cases (HMIS) at health facilities. Conducted quarterly by representatives from district
pharmacies, the NMCP, and the GHSC-PSM field office, CAPeT analyzes discrepancies and supports the development of practical action plans. Health facilities are responsible for implementing the action plans; district health management teams use the analysis, findings, and action plans to monitor progress
and inform supportive supervision and other follow-up activities. Responsibility for conducting CAPeT activities will transfer to district pharmacy professionals in FY 2020. This initiative is helping build health
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facility ownership and accountability with a simple approach to root cause analysis and practical steps to address issues as they arise.
Nigeria The project has been working with the MOH’s Logistics Management Coordination Unit (LMCU) to
collect, review and validate bi-monthly health facility LMIS reports in the 11 PMI-supported states. This effort has contributed to improving data quality and reporting rates to 99 percent. The LMCUs are now
using the LMIS data to inform re-supply of malaria and other health commodities to health facilities and are mentoring health workers in the health facilities with LMIS data quality challenges.
B.2 Improved In-Country Logistics, Including Effective and Efficient Delivery of Health Commodities to Service Sites
GHSC-PSM supports the effective and efficient delivery of health commodities to service delivery points in two ways: first, by providing technical assistance to host governments for warehousing and
distribution and, second, in some countries, by directly distributing commodities (often through contracts with in-country logistics companies).
Warehousing and Distribution Technical Assistance
GHSC-PSM promotes systematic, data-driven decision making to optimize in-country warehouse networks for increasing efficiencies in warehousing and distribution operations. In FY 2019, the project
made progress on many fronts in PMI-supported countries.
Cameroon During FY 2019, GHSC-PSM supported Regional Funds for Health Promotion (RFHP) in improving storage
conditions in the North and Far North regional warehouses. GHSC-PSM and RFHP personnel conducted a walkthrough of the warehouses, revealing that space could be gained by dejunking and reorganizing the way commodities were stored. GHSC-PSM then applied a proven industry standard for workspace
organization (the 5S methodology, i.e., Sort, Set, Shine, Standardize, and Sustain). By June, three of the
5Ss were implemented, freeing up 93.28 m3 of space in the North region alone,4 valued at about $4,204
monthly if it were rented. This support also created a conducive working environment that enables warehouse staff to practice good stock management. GHSC-PSM is supporting the RFHP in
implementing the Standardizing and Sustaining steps of 5S. (See Exhibit 12 below.)
GHSC-PSM installed temperature sensors and air conditioners in three warehouses in the North and Far North regions to support storage of medicines within appropriate temperature limits, given that
ambient temperatures in the regions often reach more than 30°C. The project also advised on temperature alert mechanisms to closely review temperatures weekly and deviations as they arise.
4 The space saved in the Far North regional warehouse was not measured.
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Exhibit 12. Cameroon’s warehouse space optimization. Photo credit: GHSC-PSM
Before Weekly Activities After
Ethiopia GHSC-PSM assisted three PFSA branch warehouses in improving their stock arrangement and inventory
management through proper product sorting and zoning. These initiatives improved inventory accuracy and freed up space in aisles and dispatching areas. The project also supported the PFSA in enhancing inventory management at all branch warehouses. As a result, four branch warehouses conducted their
regular stock count of malaria program products with 98 percent accuracy. The project also helped the country improve order synchronization and distribution, inventory control, automatic order replenishment, and timeliness and accuracy of health facility orders.
Liberia GHSC-PSM supported the Central Medical Stores (CMS), a government-owned and project-supported warehouse for public health commodities, with the deployment of mSupply, a warehouse management
system (WMS). The launch included a capacity building exercise for government employees on the use of the system and to enhance ownership and sustainability of the system. A physical inventory was conducted across the warehouse, improving visibility into the inventory of malaria and other health
commodities. With the deployment of this web-based WMS, the NMCP and other arms of the MOH will have online access to view stock status and expiry dates of health products within the warehouse to guide decision-making on procurement and resupply of malaria products to 14 county depots and the
clinics. It will further inform national dialogue of procurement timelines and product needs.
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Malawi Between September 2018 and
March 2019, with funding from PEPFAR, PMI and the United Kingdom Department for
International Development (DFID), the project spearheaded a major initiative to install an additional 239
pre-fabricated pharmacy storage units at health facilities in rural areas, including 117 facilities that
are off the electrical grid that would be powered by solar. These facilities
support up to 80 percent of people in rural areas (where many facilities are not connected to the electrical
grid) without storage. The new units are equipped with a web-based system that monitors equipment
functionality, along with temperature and security conditions, and alerts health center staff, district maintenance staff and community representatives through SMS text alerts. This type of constant remote monitoring is unprecedented in Malawi, as well as in many other parts of the world that lack
rural electrification.
Zimbabwe The project worked with Zimbabwe Assisted Pull System (ZAPS) in Manicaland Province to improve stock
management by redistributing overstocked malaria RDTs and short-dated ACTs to two district facilities. During the visit, the team also assisted the province with emergency logistics management of medicines for victims of Cyclone Idai.
LLIN Distribution
In FY 2019, many countries launched or
continued large-scale LLIN campaigns as a key prevention strategy. These massive initiatives ensure beneficiaries, particularly in high-
impact areas, receive the nets they need before the rainy season. Actual distributions can last a few weeks, while logistics, supply
planning, procurement and pre-positioning can take months. Exhibit 13 below provides information on select large-scale LLIN
campaigns supported by the project this fiscal year.
LLINs are transported by boat in Mozambique. Photo credit: Randa Arra/GHSC-PSM
His Royal Highness the Duke of Sussex visits one of GHSC-PSM’s 117 solar-powered storage facilities in Malawi. Funded by PEPFAR, PMI and DFID, these impressive warehouses are prefabricated and air-conditioned to hold lifesaving medicines. Photo credit: Dominic Lipinski, AP
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Exhibit 13. Examples of the project’s support to countries for LLIN distribution in FY 2019
Country Type of Distribution No. of Nets Distributed
Burundi Routine distribution 764,150
Ethiopia Mass distribution 5,100,000
Ghana School distribution 1,350,000
Malawi Routine distribution 340,840
Nigeria Mass distribution in one state 2,349,727
South Sudan Mass distribution 494,150
Zimbabwe Routine and mass distribution 1,135,750
Burkina Faso GHSC-PSM helped build logistics planning and management capacity prior to the LLIN distribution
campaign in FY 2019. Three two-day training-of-trainers workshops were attended by more than 140 district pharmacists, pharmacist assistants and central-level staff responsible for logistics management in 13 regions. District pharmacists will, in turn, train head nurses and facility storekeepers on the new
management tools to improve visibility into dispatch of LLINs to all supply chain levels and support distribution to households.
Cameroon The project helped the MOH introduce cloud-based transportation analysis (TransIT) and electronic
proof of delivery (ePOD) for its 2019 LLIN campaign. Information generated by these tools created instant progress report cards, enabling distribution managers to better track shipments, increase
security and documentation and make informed decisions regarding distribution of 255,750 LLINs to 600 sites. (For more on TransIT, see section B.1 above.)
Ethiopia The project helped introduce a web-based database
to monitor distribution and track the movement of more than 4 million LLINs from customs clearance to four regional states/chartered cities. The database
simplifies data aggregation, analysis and visualization, making data easier to use for decision making.
GHSC-PSM supported the FMoH in organizing five
regional-level LLIN distribution consultations and orientation workshops to 412 health professionals from 86 woredas on the LLIN distribution process and
providing 57 woreda-level orientations to 6,632 health professionals. The project worked with woreda health offices to determine the number, location and distance of health posts, and number of nets to be delivered to each health post/kebele. To arrange efficient transportation, the project, together with the
woredas, mapped distribution routes and road networks and assessed security, availability of storage, and number and type of vehicles required. The project also supported woredas to transport nets with all
“Detailed planning in this campaign helped to ensure the allocation of adequate number of nets for the communities in the woreda.”
Yasin Mohammed, head of the
Samurabi Woreda Health Office in
Afar Regional State and
coordinator of health-related
activities and campaigns, including
LLINs distributions
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possible means of transport to the distribution sites, including by foot, truck, motorcycle, donkey, or boat.
The careful planning and preparation for the distribution campaign readied and motivated coordinators at the woreda level. This preparation
was a key factor in the campaign’s success.
Nigeria The project helped expand distribution coverage and security by recommending the addition of new distribution points, real-time tracking devices
and full-time guards in the state warehouse and during transport for the LLIN campaign that reached more than 7 million people. The
government also enhanced protocols for screening and training and now has a database of more than 18,000 trained individuals who can be tapped for
campaigns.
B.3 Increased Capacity Building by Implementing Strategies to Transfer Skills, Knowledge, and Technology for Improved and Sustained Performance
GHSC-PSM transfers skills, knowledge and technology through technical assistance in workforce development and training. This section describes work in these areas.
Workforce Development Technical Assistance
GHSC-PSM builds sustainable workforces through
professionalization and systematic approaches to workforce development, putting countries on a path to self-reliance. Interventions include in-service and pre-service training, supportive
supervision or mentoring, leadership, and change management competencies.
In FY 2019, the project launched two new initiatives supporting
workforce development at the global level:
● Piloting the People that Deliver theory of change for supply
chain workforce management in Rwanda. GHSC-PSM
shared results with development partners, including the
Bill and Melinda Gates Foundation-funded African
Resource Centre and the Global Fund, to inform their
supply chain workforce strengthening.
● Holding the fifth in a series of global webinars on supply
chain professional workforce development for
Women in the Southern Nations, Nationalities, and People’s Region of Ethiopia receive LLINs at a community-based distribution event. Photo credit: GHSC-PSM
LMIS and Skills Strengthening Trainings for a Self-Reliant
Workforce GHSC-PSM provided LMIS training to:
648 warehouse staff in
Cambodia
50 Public Health School
graduates entering the health
workforce in Burkina Faso
GHSC-PSM provided skills strengthening training to:
38 students in Burundi,
covering supply chain best
practices
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development partners and country governments focused on career paths and
professionalization.
The project also delivered the annual Introduction to Supply Chain Management (SCM) and the Emerging Trends in SCM courses to USAID personnel, with a focus on advanced assessment tools, emerging trends, and the expanding roles of the private and public sectors in supply chain management.
Specific country examples follow.
Burkina Faso The project successfully trained 50 National Public Health School teachers to administer the LMIS standard
operating procedures course to students, including pharmacist assistants, logisticians, nurses, midwives
and nurse aids. This training was integrated into the pharmacist assistant and logistician course modules for the
academic year. In Q3, with financial support from PMI, GHSC-PSM provided five desktop computers to the National
Public Health School in Ouagadougou to be used in conjunction with the training. Also, the project printed and provided
700 copies of the integrated LMIS SOPs to 68 health schools to support teaching
the LMIS modules in these schools.
In Q4, the project organized a workshop with Burkina Faso’s National Public Health School to review its pre-service training curricula and integrate training materials on LMIS SOPs. The project finished reviewing the nurses training curriculum, with review of the midwives’ curriculum scheduled for Q1 FY
2020.
Burundi To better prepare graduates from the National Institute of Public Health (INSP) entering the health workforce, GHSC-PSM supported the INSP in conducting a four-day pre-service training on SCM best practices. INSP developed training modules in FY 2018 with GHSC-PSM technical support. Since then, a total of 38 students (19 each from the pharmacy and laboratory branches) were trained on best practices in pharmaceutical and laboratory commodities management.
Nigeria The project helped the Ministry of Health alleviate one of the greatest challenges in executing successful SMC campaigns by building workforce capacity. GHSC-PSM helped create a database of more than 18,000 individuals ready for future campaigns, as well as enhanced protocols for screening and training.
Rwanda GHSC-PSM piloted the People that Deliver theory of change for supply chain workforce management to
USAID hands over 700 copies of the integrated LMIS standard operating procedures and five desktop computers to the Director of the National Public Health School in Ouagadougou. Photo credit: GHSC-PSM
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help the MOH prioritize investments for improving the availability of skilled SCM cadres and monitoring the performance of human resources systems. The ministry is considering findings from the survey to
inform its efforts to strengthen supply chain workforces. GHSC-PSM has shared findings with other development partners, such as the Bill and Melinda Gates Foundation (BMGF)-funded African Resource Centre and the Global Fund, to inform their efforts as well.
Number of Trainees
Over the course of FY 2019, GHSC-PSM continued to train in-country specialists in the full range of
supply chain health systems strengthening areas. A total of 17 PMI-supported countries received training with PMI funding (either exclusively funded by the malaria task order or co-funded by the malaria task order and other health areas).
In FY 2019, 4,147 staff received malaria task order–funded and co-funded training from GHSC-PSM in health supply chain systems strengthening (see Annex L).
In total, 1,736 people were trained exclusively with malaria task order funding on malaria-specific supply chain issues, 33 percent of whom were female and 67 percent, male. The countries with the most malaria task order–funded training recipients were Nigeria (1,447 individuals) and Burkina Faso (586 individuals). (Please see Annex L for details.)
B.4 Strengthened Enabling Environments to Improve Supply Chain Performance
GHSC-PSM works to strengthen enabling environments for improving supply chain performance through
technical assistance in supply chain leadership and governance. The project also supports strategy development and strategic planning to improve supply chains. These strategies reflect findings from country-level assessments, including national supply chain assessments (NSCA) and end-use verification
(EUV) surveys.
Leadership and Governance
GHSC-PSM’s governance work seeks to build supply chain systems led by a strong team with managerial capacity, institutionalized checks and balances, and robust governance oversight, including accountability and transparent financing. Examples of GHSC-PSM’s work are provided below.
Burma The project, in collaboration with supply chain stakeholders, supported the MOH in developing its National Supply Chain Operational Plan (NSCOP). By the end of FY 2019, the final draft of the NSCOP had been presented to all stakeholders for final review. The project also provided support to the MOH in facilitating an inception workshop to develop the National Strategic Plan for Malaria (2021–2025). The draft malaria strategic plan is being vetted with stakeholders for feedback.
Cameroon
The project initiated a leadership training course for the 26 members of the central and regional teams from the Far North and North RFHP. The intensive eight-month course helped build staff capacity in managing workplace challenges, building teams, and aligning visions.
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Ethiopia GHSC-PSM continues to support EPSA’s major institutional change process in streamlining its malaria and other pharmaceutical supply chain activities. In FY 2019, the project worked with EPSA in implementing a quality management system (QMS) to improve business processes and their management at EPSA. In Q3 FY 2019, GHSC-PSM organized a QMS workshop to orient EPSA on ISO 9001:2015.
Also, GHSC-PSM, in collaboration with the regional health bureaus (RHBs), scaled up Auditable Pharmacy Transactions and Services (APTS) implementation, which monitors malaria product availability and pharmacy services at service delivery points (SDPs). By the end of FY 2019, 189 health facilities implemented APTS throughout the country, of which 112 initiated APTS implementation with GHSC-PSM support since the start of the project. The project supported the Oromia and Amhara RHBs in using APTS. The project also supported MOH in scaling up the APTS principles to a software system (eAPTS). The goal was to resolve the workload issues related to the manual system so that antimalarial stock management, dispensing and related patient care services can be automated.
Ghana The project continued to support regional supply technical working groups (TWGs). These groups are increasingly serving as the mechanism for coordinating and transitioning key initiatives, including last-mile distribution, framework contracting and LMIS implementation, to the government. With project support, TWGs were constituted and inaugurated in all 10 regions of the country in February. In August, the MOH technical TWG completed implementing the National Supply Chain Assessment to serve as an input to the 2019–2021 malaria quantification review report.
Guinea The project used geographic information system (GIS) technology to map private pharmaceutical settings (drug wholesalers, pharmacies, drug promotion agencies, etc.) in all eight regions of the country. Carried out with support from trained students from local universities, the exercise found that 75 percent of the country’s 811 pharmaceutical institutions were operating without appropriate licenses and that nearly 50 percent of private pharmacies were managed by unregistered pharmacists. The MOH is using these data to inform 20 new national policies that promote properly regulating private pharmacies and address other compliance issues. Regulations include a ministerial order establishing conditions of ownership and functionality of pharmaceutical wholesalers and distributors and creating the Medicrime Repression Brigade, tasked with investigating potential violations.
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GHSC-PSM worked with local universities to train and mobilize students as data collectors to map the private pharmaceutical
settings. Photo credit: GHSC-PSM.
Rwanda The project helped launch the Board of Directors of the Food and Drugs Authority (FDA) in February 2019. GHSC-PSM supported the Rwanda FDA in developing and validating regulations, guidelines and procedures. By the end of Q4, 10 key regulatory documents were reviewed and approved by the board of directors. The project also worked with the FDA to develop and validate a drug pricing policy and reviewed the shelf-life policy and its implementation. These policy documents were shared with MOH for endorsement.
Country Assessments—National Supply Chain Assessment
The NSCA is a diagnostic toolkit that identifies strengths, potential bottlenecks and opportunities for
improvement within a health supply chain. Developed in 2012 and recently updated to version 2.0, NSCA can prioritize areas for root-cause analysis and inform development of strategic and operational plans to strengthen systems. NSCA 2.0 has three components: supply chain mapping, to provide a visual
representation of the country’s supply chain; a capability and maturity model, to measure the supply chain’s overall capability and functionality; and key performance indicators, to measure performance.
In September 2019, GHSC-PSM completed translating the new NSCA 2.0 toolkit into French. The toolkit will be available on the GHSC website by the end of Q1 FY 2020 for public use. GHSC-PSM completed NSCA implementations in Guinea and in Ghana. Fieldwork in Guinea was conducted in June 2019. The assessment aimed to assess the government’s progress to date on their National Strategic Pharmaceutical Sector Plan, identify gaps in implementation, and provide recommendations to course correct and ensure successful implementation of the strategic plan’s goals by 2024. Fieldwork in Ghana was conducted in August of 2019.This assessment was designed to measure progress in completing Ghana’s 2016–2020 Supply Chain Master Plan (SCMP) and to provide a broad evidence base for
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developing the next SCMP for 2021–2026. GHSC-PSM will also be supporting this process for the Government of Ghana in FY 2020.
Country Assessments—End-Use Verification Surveys
EUVs are becoming an increasingly routine technique for monitoring stock availability, addressing stock management challenges, and assessing potential reasons for stock-outs. In FY 2019, 17 countries
conducted EUV surveys, some with headquarters support.
Exhibit 14 below summarizes a key performance indicator, “percentage of health facilities with the number of ALu presentations available on the day of visit.” This indicator measures
the ability to treat uncomplicated malaria with the most commonly used first-line antimalarials (i.e., of four presentations of ALu [6x4, 6x3, 6x2, 6x1], at least one presentation is available to substitute
other presentations).
The data showed that the percentage of health facilities with zero presentations (inability to treat) ranged from 0 percent to 13 percent in seven of eight countries. At least 90 percent of the facilities
visited in seven countries had at least one presentation of ALu available to treat malaria patients. Also, in Burundi (May 2019) and Ghana (Feb 2019), field offices reported on the ability to treat in one indicator, i.e., “percentage of health facilities (HFs) that had any ACT (ASAQ or ALu) available on the day
of visit” at 89 percent and 93.6 percent, respectively.
Exhibit 14. ALu index of availability based on day of visit
Country No. of HFs
visited
4* 3* 2* 1* 0* Note
Burkina Faso
(March 2019)
80 50% 31% 13% 6% 0%
Burkina Faso
(September 2019)
80 21% 25% 38% 13% 4%
Cameroon
(April 2019)
24 (2 PMI regions)
29% 25% 29% 4% 13% Data not
available for 81
HFs in non-PMI targeted
regions
Ethiopia
(Feb 2019)
98 10% 38% 28% 21% 3%
Liberia 86 42% 19% 16% 16% 7% ASAQ also
used
Of the 17 countries conducting
the EUV survey, 11 countries
conducted it twice; one
country, three times; two
countries, four or more times;
and three countries, once. A
total of 13 countries have
finalized one or more of their
reports. These activities were
supported by GHSC-PSM or
GHSC-TA Francophone TO.
45
(March 2019)
Mali
(April 2019)
79 39% 42% 15% 4% 0%
Mozambique
(June 2019)
66 44% 24% 14% 6% 12%
Niger
(April 2019)
60 67% 14% 7% 9% 3% Two regions
(Dosso and Tahoua)
Nigeria
(August 2019)
110 71% 15% 6% 5% 3%
Zambia
(Feb 2019)
40 65% 22.5% 5% 2.5% 5%
Zambia
(May 2019)
40 47.5% 27.5% 17.5% 7.5% 0%
Zambia
(August 2019)
40 45% 30% 15% 10% 0%
Zimbabwe
(May 2019)
39 61% 31% 3% 5% 0% ASAQ also
used. The data
represent only malaria-
endemic
zones.
* Number of presentations available
** ASAQ = artesunate + amodiaquine
The project shares the EUV reports and recommendations with the MOH, NMCP and other stakeholders
to inform decision making. Results from this process are presented below.
Burkina Faso The MOH has been using EUV survey findings and recommendations to address supply chain issues. For example, after the September 2018 and March 2019 surveys, the MOH continued LMIS training for
nurses and drug managers and began a training-of-trainers initiative on malaria case management for district chief medical officers. The NMCP, during its supportive supervision, reminded health facility staff to adhere to the guidelines for routine distribution of LLINs for children under age one. Also, the
Directorate of Supply Chain Management of Health Products, or DCAPS, has developed guidelines and
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tools for monitoring temperature in district stores and initiating reminder notes to health facilities on the importance of keeping all ALu available and updating stock cards.
Ethiopia Following EUV surveys’ recommendation, the Pharmaceutical Fund and Supply Agency (PFSA), with support from GHSC-PSM, continued to identify branch warehouses and SDPs with excess antimalarial
medicines and conduct stock transfer to warehouses/SDPs with shortage/stock-out of the same medicines.
Nigeria The December 2018 EUV survey revealed that less than 50 percent of technical staff were trained in
case management and stock management, and some stock management practices were not adhered to, such as first to expire, first out and temperature monitoring. From the EUV findings, the project supported 11 State Logistics Management Coordinating Units (SLMCUs) in developing an intervention
matrix for guiding actions to address identified gaps. The project also developed training videos on the Malaria Commodity Logistics System (MCLS) as job aids to ensure sustained access to relevant technical
information by health workers and other stakeholders.
B.5 HSCSS Indicators
Availability of commodities at SDPs is a key measure of country-level supply chain performance. Annex
M shows the stock-out rates at SDPs in malaria task order countries where GHSC-PSM provides technical assistance. This indicator determines the prevalence of commodity stock-outs (meaning either the commodity is unavailable, or it is available but unusable due to damage or expiry) at SDPs. GHSC-PSM
does not deliver to the SDP level in most countries, nor does it provide technical assistance to all levels of the supply chain in all countries. Unless otherwise noted, the tables in the annex reflect stock-out
rates at supported sites—which is where GHSC-PSM is implementing technical assistance at the first subnational level and project interventions have a reasonable chance of affecting stock-out rates.
Annexes N and O provide supplemental information on GHSC-PSM HSCSS performance, including stocked-according-to-plan and SDP reporting rates to the LMIS.
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C. Effective Global Collaboration to Improve Long-Term Availability of Health Commodities
GHSC-PSM’s global collaboration activities support USAID’s and PMI’s leadership and participation in important global supply chain fora. They also provide leading-edge research to help shape global markets for health commodities, share supply chain information with other donors and collaborators as
a global good, ensure that the project’s supply chain stays current with emerging requirements, and effectively manage and share knowledge of best practices and lessons learned.
C.1 Improved Strategic Engagement with Global Partners to Ensure Appropriate
Strategic Coordination
Due to the scale, scope and complexity of malaria as a global health challenge, global collaboration—
sharing information, resources, activities and capabilities—is essential. GHSC-PSM collaborates with global stakeholders and subject matter experts to address malaria commodity production, QA and procurement challenges.
Collaboration on QA
Early in FY 2019, GHSC-PSM was notified of critical management failures at an LLIN manufacturer. These
failures may have compromised the long-term quality of 45 million nets procured for PMI and manufactured between January 2017 and April 2018. Most of the nets, which were distributed to end-users, were believed to provide a physical barrier of protection. However, they may have insecticide
concentrations resulting in lower effective lifespans and may need to be replaced sooner than the normal three-year duration.
During the period in question, all batches were compliant when tested pre-shipment. But post-shipment tests identified some batches procured for Ghana, Mozambique, Nigeria and Uganda with insecticide
levels that were OOS. Based on these results and subsequent reporting by the manufacturer of a management system breakdown, GHSC-PSM took the following steps, in collaboration with PMI and other global stakeholders, to minimize disruption to PMI programs and ensure that PMI programs
receive effective remedies as soon as possible:
● Providing information to PMI to notify all PMI countries of potential issues.
● Working with the manufacturer to understand the root cause of the OOS.
● Collaborating with the WHO Prequalification of Medicines Team for Vector Control, or PQT-VC,
to determine next steps that meet project objectives and provide protection from malaria-carrying mosquitoes to people who need it.
● Developing an expanded protocol for post-shipment sampling and testing of procured nets, in
collaboration with GHSC-QA contractor (FHI 360) and GHSC-PSM’s LLIN QC laboratory.
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● Developing a custom mathematical optimization model to inform future LLIN market risk assessment, support operational decision making, and inform development of a new LLIN
sourcing strategy.
In September 2019, GHSC-PSM QA participated in The Global Fund LLIN Supplier and Partner
Meeting in Singapore. PMI, UNICEF, WHO Vector Control and LLIN manufacturers/suppliers also
attended the meeting. Donors discussed quality requirements and allocation strategies for LLINs
and made recommendations on manufacturer QMS requirements to foster better
understanding of manufacturing processes among global donors.
Collaboration on Global Standards—GSI
End-to-end supply chain data visibility is a key challenge for USAID/Washington and USAID-supported countries. Fragmented systems (both in country and among procurement agencies), lack of standards-based identification, and heavy reliance on manual data reduce supply chain efficiency and pose risks to security—particularly theft, diversion, and introduction of substandard and falsified medicines, which are exacerbated for product categories such as ACTs. Global standards are becoming a strategic supply chain enabler for numerous industries across the globe. Adopting these standards is a central part of the GHSC program to reduce costs, enhance efficiencies and improve the availability of health commodities worldwide.
In January 2018, GHSC-PSM implemented new requirements for suppliers of pharmaceuticals, medical
devices, laboratory reagents, and sterile kits to identify and label commodities in accordance with GS1
global standards for healthcare. The requirement includes exchanging product master data through the
GS1 Global Data Synchronization Network (GDSN) and has three phases.
In Phase 1, mandated by December 30, 2018, suppliers needed to submit Global Location Numbers
(GLNs) identifying their business entities; Global Trade Item Numbers (GTINs) identifying their items and
various levels of packaging; and label the tertiary pack trade item with a barcode encoded the GTIN,
batch/lot and expiration date.
At the end of Q4, GHSC-PSM had received GLNs for 70 percent of in-scope malaria task order manufacturers and GTINs for 68 percent of in-scope malaria task order trade items. Of the in-scope items, 60 percent complied with the tertiary pack labeling requirement. Malaria RDTs and ACTs were 100 percent compliant with Phase 1 requirements. GHSC-PSM is also synchronizing master data with three suppliers of malaria commodities before the December 2019 Phase 2 deadline.
Exhibit 15. Compliance with Phase 1 GSI requirements, FY 2019
Malaria RDTs 100%
ACTs 100%
Severe malaria medications 58%
SP 50%
SMC 43%
Other Pharma 15%
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While compliance is below target for the end of FY 2019, measures are in place for achieving targets in FY 2020. GHSC-PSM underestimated resources needed in FY 2019 to drive supplier engagement and
decided to focus on GS1 compliance for core commodity groups. This resulted in100 percent compliance for the core malaria task order categories of malaria RDTs and ACTs, with lower-volume commodities lagging. To mitigate similar risks in FY 2020, a team of three full-time resources will focus solely on
further integrating GS1 compliance into global supply chain performance initiatives.
GHSC-PSM promotes high-performing suppliers through the project website based on the project’s GS1 supplier scorecard for suppliers of malaria pharmaceuticals
(https://www.ghsupplychain.org/GS1supplierscorecard) to incentivize compliance by competitors. GHSC-PSM will update the scorecard quarterly and publish results on the project’s social media channels.
Global Engagement The last year has seen significant advocacy work to align donors and procurement agents around a
common set of standards and procurement requirements. Project activities included:
● Leading development and publication of the Global Standards Technical Implementation Guideline for Global Health Commodities, a milestone in procurement harmonization endorsed by the Global Drug Facility (Stop TB), Global Fund, United Nations Development Programme (UNDP), United Nations Population Fund (UNFPA), and USAID.
● Co-hosting three supplier webinars (October, February, September) with 1WorldSync on data
synchronization requirements in advance of the December 2019 Phase 2 deadline. Participants
included manufacturers, wholesalers, GHSC-PSM staff, and other international procurement
agencies including Global Drug Facility (Stop TB), Global Fund and UNFPA.
● Supporting USAID in hosting GS1 Day before the semi-annual Intragency Supply Chain Group
(ISG) meeting in Washington, DC, to review joint requirement and contract language, global
compliance, and the global technical approach for pharmaceutical traceability and discuss and
align activities and support across country programs.
● Launching the TraceNet working group in May 2019 to establish GS1 global health procurement
requirements for enabling identification, data capture and data exchange for LLINs. By coordinating
nine working sessions in FY 2019, the project obtained consensus on recommendations for LLIN
identification data attributes and data capture labels for the product and packaging level hierarchy.
TraceNet is chaired by USAID and the Global Fund and consists of representatives from GHSC- PSM,
country program field offices, GS1, and ten LLIN manufacturers. A harmonized procurement
requirement and implementation plan is expected by the end of calendar year 2019.
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To further support global alignment, GHSC-PSM promotes USAID’s thought leadership on GS1 standards in global and national supply chains by sharing developments and emerging practices, and at
international fora attended by manufacturers, logistics providers and solution providers. Key activities over the course of the fiscal year included:
● Global GS1 Healthcare Conference – Bangkok, Thailand (November 2018). Presented on the
applicability of standards in LLMICs, GHSC-PSM’s global technical approach, and advocacy for
manufacturer adoption of GDSN for sharing master data.
● Global GS1 Healthcare Conference – Noordwijk, Netherlands (March 2019). Co-presented with
IDA Foundation on compliance, challenges /lessons
learned, and opportunities for using GDSN for
exchange of master data.
● ICT4D Conference – Kampala, Uganda (April 2019).
Participated in a panel on authentication and
verification solutions in sub-Saharan Africa to
advocate for standardized solutions to leverage and
scale across countries and product categories.
● Health and Humanitarian Logistics Conference –
Kigali, Rwanda (July 2019). Presented on master
data, USAID’s and GHSC-PSM’s leadership in
The 2nd African GS1 Conference took place in Lagos, Nigeria, in September 2019. Attendees included 287 participants from 43 countries. Among the participants, 34 African countries were represented. Participants convened and discussed the latest in in traceability standards to ensure the safety and quality of health commodities in the global supply chain. Photo credit: 2nd African GS1 Healthcare Conference official website.
“The Call to Action states the case—in
clear language developed by Africa’s
regulatory leaders—for adoption of
global standards for medicine
traceability. We are watching with real
admiration the commitment made
today to medicine quality. This is
Africa’s time to shine.”
Tom Woods, World Bank’s
Chairman of the Global Steering
Committee for Quality
Assurance
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advancing global standards and pharmaceutical traceability.
● 2nd African GS1 Healthcare Conference – Lagos, Nigeria (September 2019). Supported
development of the Call to Action presented by National Agency for Food and Drug
Administration and Control (NAFDAC); participated in a panel on harmonizing traceability
requirements; co-presented with Rwanda FDA on GHSC-PSM’s traceability framework and
Rwanda’s implementation; and organized and moderated a panel of regulators from Nigeria,
Kenya, Zambia, Malawi and Rwanda on their traceability initiatives.
Country Progress GHSC-PSM is actively promoting and helping countries prepare for GS1 adoption. In March, the project launched the Implementation Guidance for Pharmaceutical Traceability: Leveraging GS1 Global Standards, a public document available in French and English. The document is designed to serve as
GHSC-PSM's initial global technical approach for global standards and traceability and to provide guidance to country programs in operationalizing a vision and strategy for pharmaceutical traceability. This document is complemented by a Global Standards and Traceability overview, produced in June, describing the approach, outcomes, illustrative activities, and resources.
Throughout FY 2019, GHSC-PSM provided technical assistance to assist several countries in advancing the use of GS1 global standards. These efforts included:
● Angola: Conducting a national workshop to develop a vision, strategy and roadmap for
implementing GS1 standards in the health sector attended by 60 participants.
● Ghana: Continuing to work with the MOH LMIS subcommittee to standardize the master data
model leveraging GS1 identifiers and GDSN attributes.
● Malawi: Documenting requirements for a GSI-enabled national product registry and supporting
identification of requirements for interoperability and data governance; creating awareness of
GS1 standards through one-on-one health sector stakeholder meetings; co-hosting and
facilitating a national pharmaceutical traceability workshop with MOH and PMPB attended by
35 participants.
● Nigeria: Supporting NAFDAC in advocacy and awareness of GS1 standards with health sector
stakeholders; co-hosting and facilitating a national pharmaceutical traceability workshop with
NAFDAC and MOH attended by nearly 100 participants.
● Rwanda: Providing support for capacity development to Rwanda FDA on the key concepts of
GS1 standards, selecting a traceability model, and beginning to define regulatory requirements
to support implementation.
● Uganda: Assessing current processes and technologies for automatic identification and data
capture (AIDC) barcode scanning leveraging GS1 standards.
● Zambia: Creating awareness of GS1 standards through one-on-one health sector stakeholder
meetings; co-hosting and facilitating a national pharmaceutical traceability workshop with MOH
and ZAMRA attended by 43 participants from the public and private sectors.
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C.2 Global Market Dynamics Research and Innovations Conducted, Shared and Implemented
As described in section A.1, GHSC-PSM conducted market analyses for informing malaria commodity sourcing activities to help ensure stronger, healthier, more sustainable markets in the long run.
Support to Global Access Pricing Discussions GHSC-PSM and PMI are collaborating with BMGF, IVCC and MedAccess to develop market-based
strategies to improve the affordability of newer net technologies. This includes nets manufactured with more than one active ingredient (dual active ingredient, or dual AI, nets) to help combat malaria-carrying mosquitoes resistant to nets treated with only a single pyrethroid. In the first half of FY 2019,
GHSC-PSM participated in discussion forums and one-on-one brainstorming sessions with external partners to convey the procurement perspective and inform strategies and help improve affordability.
In the second half of FY 2019, GHSC-PSM formalized a mechanism through which IVCC will subsidize a portion of the cost of the nets paid for by PMI to facilitate the purchase of dual AI nets by GHSC-PSM.
Through access to co-payments provided by IVCC, GHSC-PSM will be able to procure dual AI nets for countries dealing with substantial resistance to the single pyrethroids currently used in insecticide-
treated nets at a more affordable price.
Analysis of Active Pharmaceutical Ingredient Import-Export Data from China GHSC-PSM continued to leverage sales data for export of raw materials, starting materials and active pharmaceutical ingredients used by health commodity manufacturers. Data were used to support the development of negotiation strategies and benchmark costs for critical product areas, including various
pack sizes and formulations of ACTs. Data were also used to track and validate the market information shared by suppliers, particularly for the products SP and SPAQ.
LLIN Market Risk Assessment GHSC-PSM completed a thorough LLIN market assessment and developed a customized mathematical
optimization model to support scenario analyses to inform future LLIN market risk assessments, support operational decision making and inform development of the new LLIN sourcing strategy.
Other Global Innovations
As documented throughout this report, at the central and country levels, GHSC-PSM is testing and promoting new approaches to ensure availability of lifesaving commodities for the people who need
them. Illustrative innovations include:
● Establishing strategic LTAs with suppliers to enhance ongoing procurement for most malaria
commodity categories.
● Updating the EUV tool to harmonize the methodology and tools with its actual use and create a
standard package for all countries covering training, sampling, data collection, validation,
analysis and reporting (see more on EUV in section B.4 above).
● Executing a second RDT allocation strategy emphasizing country-agnostic, fixed-price contracts
whose benefits include cost savings, reduced price fluctuations, increased supplier diversity and
greater long-term availability.
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● Pre-positioning antimalarials and SPAQ in the Belgium RDC to better respond to emergency
needs and ensure delivery in time for seasonal malaria chemoprevention campaigns
C.3 Improved Awareness and Advocacy to Improve Availability of Essential Health Commodities
GHSC-PSM participated in the American Society of Tropical Medicine and Hygiene Annual Meeting
in New Orleans, LA, and the Global Health Supply Chain Summit (GHSCS) in Lusaka, Zambia. At both meetings, the project presented on Cameroon’s
case study on using GIS tracking in supply chain management.
The project also presented on activities co-funded by the malaria task order at GHSCS, Information and Communication Technologies for Development (ICT4D), and the 2019 Health and Humanitarian Logistics Conference (HHLC), including:
● Ethiopia’s low-cost, high-impact quick-win intervention to improve stock availability (GHSCS)
● Optimizing the USAID Global Health Supply Chain Network: A journey of supply chain transformation (GHSCS)
● From three to one: Benefits of donor health supply chain integration, the Nigeria experience (GHSCS)
● Global standards for product authentication and data visibility (ICT4D)
● Supply chain optimization and analytics applications in public health supply chains (ICT4D) ● Emergency response efforts in supply chain: A case study and lessons learned in Mozambique
(HHLC) ● The journey to self-reliance: The story of a public-private partnership to achieve pharma-
compliant warehousing for public health commodities in Nigeria (HHLC)
In addition to presentations at ICT4D and HHLC, the GS1 team made presentations at the Global GS1 Healthcare Conferences in Bangkok, Thailand, and Noodwijk, Netherlands, as well as the 2nd African GS1 Healthcare Conference in Lagos, Nigeria, as described in section C.1.
Winner of the 2018 GHSCS Accelerating Global Health
Supply Chain Excellence Award
Mozambique’s Ministry of Health and GHSC-PSM, in collaboration with the Clinton Health Access Initiative and VillageReach, received the Accelerating Global Health Supply Chain Excellence Award for the best innovation at the 2018 Global Health Supply Chain
Summit.
The award recognized the cloud-based OpenLMIS
tablet application, Sistema de Informação para Gestão
Logística nas Unidades Sanitárias (SIGLUS), which
allows for faster, automated reporting for local health
facilities and easier data management at all levels. With
SIGLUS, critical consumption and stock data are
available in real time to inform distribution activities,
strategic decisions, and FASP. Judges noted that the
scope, expansion, and government leadership in all
aspects of the SIGLUS rollout distinguished this
innovation from others presented at the conference.
54
C.4 Improved Coordination and Collaboration Among Health Areas Within the IDIQ and Other USAID Global Health Supply Chain-Funded Activities
GHSC-PSM promotes and benefits from collaboration across the four health areas supported by the project contract and with other GHSC-funded activities.
At the central level, GHSC-PSM uses the scale of its work across multiple health areas to benefit all task
orders. Significant cost savings related to infrastructure (the RDCs and contracts with 3PL service providers) are possible due to the project’s economies of scale.
The project built the information system used to manage its supply chain, known as ARTMIS, with
funding from all health areas. This system can pinpoint and track progress in addressing procurement issues in individual health areas. To further improve ARTMIS for the malaria task order, the project moved QA data from a Microsoft Excel program in FY 2019 to ARTMIS, further enhancing data visibility.
Shared funding also allows for specialized support, such as for market dynamics, knowledge management and communications, and M&E.
Combined, the four health areas co-fund important, globally relevant innovations, such as global standards implementation. In FY 2019, the project finalized and published the Global Standards
Technical Implementation Guideline for Global Health Commodities, a key resource that will help achieve procurement harmonization across the donor community. Several major procurers endorsed the guideline, including PMI, the Global Drug Facility (Stop TB), the Global Fund, UNDP, UNFPA and
USAID.
Numerous health programs have observed the utility of PMI’s long-standing EUV survey and requested GHSC-PSM support in adapting the survey to meet their needs. An updated EUV, while continuing to
address PMI priorities, now includes optional modules that other task orders can fund to capture information on health commodities used in family planning/reproductive health and maternal and child health programs. These task orders benefit from the work and investment previously made by PMI and
harmonize the data-gathering approach for multiple task orders.
Most GHSC-PSM field offices are funded by multiple health areas and their corresponding task orders. This provides enormous benefits for field offices, which share the cost of office space, infrastructure and
staff. Further, the various health areas fund or co-fund training, greatly expanding the training topics and number of people whose capacity is built. Similarly, health areas often share the cost of short-term technical assistance.
GHSC-PSM works to maximize synergies among the various health programs it supports. One way the
project achieves these synergies is by developing approaches and/or systems in one health area that diffuse to other areas. For example, in Q2, GHSC-PSM completed warehousing and distribution analyses
in Ghana to determine the best location for hubs in a central-level network and a last-mile delivery costing analysis. Results and recommendations will help achieve greater efficiency and cost savings for Ghana’s supply chain, benefiting multiple health areas that deliver commodities through the supply
chain.
In South Sudan, the project has been running a call center to collect stock status data for tracer commodities for task orders 1, 2 and 3 from health facilities since 2017. In Q3, the call center team conducted a data validation exercise to compare data collected during calls with physical stock and
55
information recorded in health facility stock cards. Through this exercise, the project compared results across three task orders. In general, the call center data matched the facilities’ physical inventories. In
facilities that were called more frequently, storekeepers kept stock cards updated in anticipation of the call so that they could readily provide data. These efforts are increasing the accuracy of the data collected through the call center and in inventory records at the facility level, as well as informing the
launch of a similar call center in Niger.
C.5 Coordination with Other Parts of GHSC
A separate GHSC contract—the multi-award GHSC-TA contract—provides technical assistance through field offices in several countries, including in PMI countries Benin, Côte d’Ivoire, DRC, Senegal and Tanzania. USAID Missions in these countries procure health commodities through the GHSC-PSM
contract. A GHSC-PSM team in headquarters serves as the point of contact for these non-field-office (NFO) countries on ordering, delivery and commodity security issues, conveying information and managing data requests.
The NFO team tailors its support based on commodity volume, commodity complexity, import requirements and in-country programming. To interact effectively and efficiently with the GHSC-TA contractors, the NFO team outlined roles and responsibilities, drafted communication protocols with in-
country stakeholders and USAID Missions, and executed and monitored memorandums of understanding with the GHSC-TA contractors. The NFO team also coordinates closely with in-country technical assistance projects to manage contracts—for example, with the central medical store in
Senegal. In Burkina Faso, GHSC-PSM coordinated with the GHSC-TA project to train nurses on SOPs for inputting information into the country’s LMIS. By partnering on training, an additional 600 head nurses were trained.
At the end of September 2019, following the OOS incidents of LLINs produced by a key supplier, the project, through the malaria task order, began working with FHI360 to expand their scope of work to include additional testing of LLINs, as well as expand the period of performance of the indefinite quantity subcontract that has been providing quality control tests for malaria commodities as part of the GHSC-QA subcontract. The current scope of work features fixed prices for post-shipment testing of the procured and delivered LLINs manufactured by that supplier and for other vendors/suppliers as may be required. Executing this subcontract will continue to help PMI, the project and recipient countries gain better understanding of the quality of these LLINs to strategize a way forward.
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D. Performance Monitoring
GHSC-PSM monitors and reviews project performance with the objective of continual improvement.
D.1 Indicators
GHSC-PSM has a USAID-approved M&E plan with performance indicators that reflect the project’s results framework. Annex A provides the framework, and Annex B, the list of indicators and their definitions. Annex C summarizes malaria commodity procurement by country during FY 2019. Annex D
details the sources of all the commodities the project procures. Annexes E–Q provide project performance as detailed by the indicators, and Annexes J–Q provides country-specific health supply chain systems strengthening indicators.
Our M&E plan includes quarterly, semiannual and annual indicators. The project collects and cleans
performance monitoring data and calculates relevant indicator values each reporting period; these are reported in the project’s contractual quarterly and annual reports. GHSC-PSM performs extensive
quality assurance of on-time delivery data and works continually with project staff to ensure the quality of other indicator data. Headquarters-based M&E specialists carefully review indicator data provided by field offices that are used to calculate the country-level indicators.
As part of the quarterly reporting process, the M&E team convenes relevant GHSC-PSM teams, such as
the Global Supply Chain team and the health area directors, to review quarterly findings. These meetings identify potential calculation issues and provide context for the quarterly report. They also support the relevant teams in reflecting on progress and prioritizing areas for improvement.
D.2 TO2 Regular Meetings and Review
GHSC-PSM has several internal standing meetings to review and discuss TO2 performance across the
project and to identify areas for improvement. These meetings include:
● A weekly malaria task order management team meeting to discuss issues specific to malaria task
order activities
● Daily Global Supply Chain meetings to review all pending orders and determine priority actions
for appropriate malaria order management
● Weekly GHSC-PSM program management meetings to discuss crosscutting project issues that
impact project health areas, including the malaria task order.
GHSC-PSM also has several standing meetings with the USAID/PMI team, including:
● Weekly GHSC-PSM malaria task order and PMI team meetings to review the status of pending
malaria orders, provide updates on progress in systems strengthening activities and present and
discuss new sourcing strategies and innovations for PMI approval before implementation.
● Biweekly GHSC-PSM malaria task order QA and PMI meetings to review and discuss progress
and issues related to TO2 QA activities.
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● Weekly GHSC-PSM management team and USAID check-in meetings to review crosscutting
project performance with the USAID Contracting Officer’s Representatives.
● Biweekly M&E TWG meetings to develop, review, update and promote global M&E strategies,
processes, and tools for the project; identify and share best practices across countries and other
USAID partners; and address issues related to technical assistance in evaluation that have cross-
country applicability.
● Biweekly Logistics TWG meetings to review Deliver/Return and 3PL metrics and current logistical
challenges and issues; participants also present and discuss customized logistics solutions that
are developed to improve project performance.
● Monthly Country Program TWG meetings to enhance communication and collaboration
between USAID and GHSC-PSM country programs, and address issues related to technical
assistance across all health systems strengthening and task order areas that have cross-country
applicability.
● Weekly Management Information System TWG meetings with the USAID technical backstops to
discuss ARTMIS releases and other important technology challenges.
● Monthly FASP TWG meetings to develop, review, update and promote FASP technical strategies,
processes and tools for the project; identify and share best practices across countries; address
issues related to FASP technical assistance that have cross-country applicability; and contribute
to Communities of Practice.
● Monthly Finance TWG meetings to coordinate and standardize financial management across all
task orders; track funding streams and sources for procurement transactions and in-country
activities; and update or adjust Monthly Financial Status reports for headquarters and country
activities.
D.3 Other Monitoring
In 2017, GHSC-PSM, in collaboration with USAID, developed a “global” Environmental Mitigation and Monitoring Plan (EMMP) and an Initial Environmental Examination (IEE). At the time, the environmental framework component of these materials (aka, Environmental Protection, Information and Knowledge [EPIK] system) did not adequately address the correct conditions and the wide range of activities the project would implement. To support USAID GHSC’s efforts to build core environmental mitigation and monitoring measures that address project needs, in FY19, Chemonics environmental staff joined the Bureau for Global Health Bureau Environmental Officer (GH BEO) in site visits to Malawi and South Africa. They engaged with stakeholders to better understand the conditions in which activities are implemented on the ground. GH BEO determined that operations in Malawi and South Africa are compliant with Regulation 216 and the project’s EMMP. In FY 2020, USAID will revise the IEE and EMMP to clarify requirements so that they appropriately align with project activities and scope. GHSC-PSM will focus on addressing country-level mitigation and monitoring measures to ensure the project is following USAID regulations and procedures. The GHSC-PSM project is compliant with USAID environmental regulations and policies; however, the project is required to build a stronger and more robust environmental management system (aka EPIK). EPIK will
58
be finalized and rolled out in FY 2020. Moving forward, this EPIK system will be the flagship platform for all GHSC projects and initiatives.
USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM PROCUREMENT AND SUPPLY MANAGEMENT
GHSC-PSM TASK ORDER 2 (MALARIA)
ANNUAL REPORT ANNEX FISCAL YEAR 2019
PMI FY2019 Annual Report Annex
Post-2015 Development Agenda Roll Back Malaria Family Planning 2020
A Promise Renewed Women Deliver
Improved Maternal Health Reduced Child Mortality ↑
↑
↑ ↑ ↑ Objective 1: Improved availability of
health commodities (global procurement and logistics)
Objective 2: Strengthened in-country supply chain systems
Objective 3: Effective global collaboration to improve long term availability of health commodities
Intermediate Result (IR) 1.1. Enhanced global health commodity procurement
IR 2.1. Improved strategic planning and implementation related to supply chain management and commodity security
IR 3.1. Improved strategic engagement with global partners to ensure
appropriate strategic coordination
IR 1.2. Strengthened global logistic processes associated with the storage
and delivery of any health commodity to any point in donor supported countries
IR 2.2. Improved in-country logistics,
including effective and efficient delivery of health commodities to service sites
IR 3.2. Global market dynamics research and innovations conducted, shared and
implemented
IR 1.3. Ensured adherence to quality assurance requirements
IR 2.3. Increased capacity building efforts by implementing strategies to
transfer of skills, knowledge, and technology for improved and sustained
performance
IR 3.3. Improved awareness and
advocacy to improve availability of essential health commodities
IR 1.4. Improved data visibility IR 2.4. Strengthened enabling
environments to improve supply chain performance
IR 3.4. Improved coordination and collaboration between TOs within the
IDIQ and with other USAID supply chain funded activities
ANNEX A. GHSC-PSM M&E RESULTS FRAMEWORK
USAID Global Health Strategic Framework Relief child survival and maternal health as relevant (such as Zika). U.S. President's Malaria Initiative
GHSC-PSM Goal: Ensured uninterrupted supply of health commodities to prevent suffering, save lives, and create a brighter future for families across the globe
Global Goals, Initiatives and Partnerships
U.S. Government Initiatives and Strategies End Preventable Child and Maternal Deaths and
U.S. President's Emergency Plan for AIDS address new and emerging issues related to
Commission on Life Saving Commodities
Annex A. GHSC‐PSM Results Frame Page 2
PMI FY2019 Annual Report Annex
ObjectiveIndicator Number
Indicator Name Numerator / Denominator SourceReporting Frequency
OBJ. 1 A1aPercentage of line items delivered on time and in full, within the minimum
delivery window
Number of line items delivered to the recipient on time and in full during the quarter / Total number of line items delivered to the recipient during the
quarter
ARTMIS Quarterly
OBJ. 1 A1bPercentage of line items delivered on
time, within the minimum delivery window
Number of line items with an agreed delivery date during the quarter that
were delivered to the recipient on time / Total number of line items with an
agreed delivery date during the quarter
ARTMIS Quarterly
OBJ. 1 A2Percentage of quality assurance (QA) processes completed within the total
estimated QA lead times
Number of consignments complying with the pre-established QA lead times
during the quarter / Total number of consignments requiring QA processes that were cleared for shipment during
the quarter.
PSM QA database Quarterly
OBJ. 1 A3 Cycle time (average)
Sum of cycle time for all line items delivered during the quarter / The count
of all line items delivered during the quarter
ARTMIS & K+N LMIS Quarterly
OBJ. 1 A4 Inventory turns (average number of
time inventory cycles through (GHSC-PSM-controlled global facilities)
Total ex-works cost of goods distributed from GHSC-PSM-controlled global inventory stocks (in USD) within the
fiscal year. / Average monthly inventory balance (in USD).
ARTMIS & K+N LMIS Annual
OBJ. 1 A5aTotal Landed Cost (logistics costs
only)
Sum of all logistics costs (in USD) paid by GHSC-PSM during the reporting period / Total value of commodities delivered to customers during the
reporting period.
ARTMIS & K+N LMIS Semi-Annual
ANNEX B. GHSC-PSM M&E PLAN (ABRIDGED) GHSC PSM Performance Monitoring Plan
Annex B. GHSC‐PSM M&E table Page 3
PMI FY2019 Annual Report Annex
ObjectiveIndicator Number
Indicator Name Numerator / Denominator SourceReporting Frequency
OBJ. 1 A5b Total Landed Cost (All costs)
Sum of all commodity-related and HQ operations costs (in USD) paid by
GHSC-PSM during the reporting period / Total value of commodities delivered
to customers during the reporting period.
ARTMIS & K+N LMIS Semi-Annual
OBJ. 1 A6a Absolute percent supply plan error, with variants mean absolute percent error (MAPE) and supply plan bias
Absolute value of the differences between the actual quantities with
requested delivery dates during the quarter minus the quantities planned for
delivery according to country supply plans. / Sum of the actual quantities
with requested delivery dates during the quarter
ARTMIS and country supply plans
Annual
OBJ. 1 A6b Absolute percent forecast error, with variants mean absolute percent error
(MAPE) and forecast bias
Absolute value of the differences between the actual quantities with
requested delivery dates during the quarter minus the quantities planned for delivery according to the global demand forecast. / Sum of the actual quantities
with requested delivery dates during the quarter.
ARTMIS and country supply plans
Annual
OBJ. 1 A7Number of line items delivered during the quarter that required a temporary
registration waiver for importation
Total number of line items delivered during the quarter
ARTMIS (for delivery data); Country Registration Status
Forms; Registration Database
Quarterly
OBJ. 1 A8
Average percentage of shelf life remaining for warehoused
commodities, weighted by the value of each commodity’s stock (product
at risk percentage)
Percentage of shelf life remaining at the end of the quarter, weighted by value of
commodities, summed across all products / Total value of commodities,
summed across all products, at the end of the quarter.
ARTMIS Quarterly
Annex B. GHSC‐PSM M&E table Page 4
PMI FY2019 Annual Report Annex
ObjectiveIndicator Number
Indicator Name Numerator / Denominator SourceReporting Frequency
OBJ. 1 A10Percentage of product procured using
a framework contract (framework contract percentage)
Value of product purchased through framework contracts during the quarter / Total value of commodities purchased
during the quarter.
ARTMIS Quarterly
OBJ. 1 A13
Percentage of batches of product for which the final result is showing
nonconformity (out-of-specification-percentage)
Total number of batches of product showing nonconformity during the quarter / Total number of batches
tested during the quarter.
ARTMIS Quarterly
OBJ. 1 A14 Average vendor rating score
Sum of all key vendor ratings / Number of key vendors from whom GHSC-PSM
procured products/commodities, lab testing services, or freight forwarding
during the quarter
ARTMIS, subcontracts, invoices, technical
documents, email records. Quarterly
OBJ. 1 A15
Percentage of quality assurance investigation reports submitted within
30 calendar days of outcome determination
Total number QA investigation reports submitted to PMI within 30 days of
outcome determination / Total number of QA investigation reports due during
the reporting period
QA investigation records and incident management
recordsSemi-Annual
OBJ. 1 A16 Percentage of backlogged line items
Number of line items with an agreed delivery date (ADD) on or before the
reporting period end date within a rolling 12-month period, that have not been cancelled or put on hold and that are currently undelivered and late / Total
number of line items with an ADD on or before the reporting period end date, within a rolling 12-month period, that
have not been cancelled or put on hold.
ARTMIS Quarterly
Annex B. GHSC‐PSM M&E table Page 5
PMI FY2019 Annual Report Annex
ObjectiveIndicator Number
Indicator Name Numerator / Denominator SourceReporting Frequency
OBJ. 2 B1 Stockout rates at SDPs
Number of SDPs that were stocked out of a specific tracer product according to the ending balance of the most recent logistics report (or on the day of site visit) / Total number of SDPs that
reported/were visited in GHSC-PSM-supported countries that offer the tracer
product.
In- Country LMIS or surveys such as EUV when LMIS
data is not availableQuarterly
OBJ. 2 B2
Percentage of stock status observations in storage sites where commodities are stocked according
to plan, by level in supply system (tracer products)
Number of stock status observations for a tracer commodity that were within the
designated minimum and maximum quantities at storage sites / Total
number of stock status observations for a tracer commodity at storage sites.
In- Country LMIS, program monitoring reports, stock
status reports/stock keeping records/regular physical
counts, order forms from the central/regional/district/facility levels, or regular supervision
visits.
Quarterly
OBJ. 2 B3Service delivery point (SDP) reporting
rate to the logistics management information system (LMIS)
Number of SDPs whose LMIS report(s) or order form(s) were received at the
central level within 30 days of the specified in-country deadline / The total
number of SDPs in country that are required to report.
In- Country LMIS Quarterly
OBJ. 2 B4Average rating of in-country data
confidence at the central, subnational, and SDP levels
Sum of all rating scores (0-9 points each) for all sites reporting, as described under Plan for Data
Acquisition. / Total number of sites reporting.
Warehouse mgmt. reports, warehouse receipts and issues documents, LMIS
reports, stock cards, ROs, WMS reports, physical
counts, etc.
Annual
OBJ. 2 B5% of required annual forecasts
conducted
Number of required annual forecasts conducted. / Total number of required
annual forecasts. Project records Annual
OBJ. 2 B6Percentage of required supply plans submitted to GHSC-PSM during the
quarter
Number of required supply plans that were submitted to GHSC-PSM in the
quarter / Total number of required supply plans.
Project Records Quarterly
Annex B. GHSC‐PSM M&E table Page 6
PMI FY2019 Annual Report Annex
ObjectiveIndicator Number
Indicator Name Numerator / Denominator SourceReporting Frequency
OBJ. 2 B7
Percentage of total spent or budgeted on procurement of commodities for public sector services by the local government, U.S. government, the
Global Fund, or other sources
Total budgeted/spent on health care commodities by a specific stakeholder in a country. / Total budgeted/spent on health care commodities in a specific
country.
Annual budgeting exercises, quantifications, supply plans,
host country records from government and donors,
customs clearance records.
Annual
OBJ. 2 B8
Percentage of targeted supply chain activities in which the host country
entity has achieved technical independence with GHSC technical
assistance
Total number of targeted supply chain activities in which the host country entity has achieved technical independence
with GHSC technical assistance / Total number of supply chain activities
targeted to achieve technical independence with GHSC technical
assistance
Project records, MOH documents, interviews with
stakeholdersAnnual
OBJ. 2 B9Supply Chain Technical Staff
Turnover Rate
Number of supply chain technical staff who left the active health labor force in the last year. / Total number of supply
chain technical staff at the beginning of last year.
HRIS data, employment records and payroll records obtained from the country’s
HR department and staff
Annual
OBJ. 2 B10
Percentage of GHSC-PSM-supported countries that have a functional
logistics coordination mechanism in place
Total number of countries with a functional logistics coordination
mechanism in place as determined by a qualitative assessment. / Total number of countries supported by GHSC-PSM
for technical assistance.
Committee meeting agendas and/or minutes; interviews with committee members
Annual
OBJ. 2 B11
Percentage of leadership positions in supply chain management that are held by women (in countries where GHSC-PSM is providing technical assistance related to workforce
development)*
Number of leadership positions in supply chain management that were held by women in a specified time in
countries where GHSC-PSM is providing technical assistance related to workforce development. / Total number
of leadership positions held in a specified time, in countries where GHSC-PSM is providing technical assistance related to workforce
development.
Workforce surveys Annual
Annex B. GHSC‐PSM M&E table Page 7
PMI FY2019 Annual Report Annex
ObjectiveIndicator Number
Indicator Name Numerator / Denominator SourceReporting Frequency
OBJ. 2 B12Mean absolute percent consumption
forecast error, with forecast bias variant
Absolute value of the difference between the actual quantities of
products consumed at service delivery points during the year minus the
forecasted consumption for the year. / Sum of the actual quantities of products
consumed during the year.
Routine LMIS or consumption reports; annual
consumption forecasts for each tracer product.
Annual
OBJ. 3 C1
Number of innovations (including operations research studies) that were developed, implemented, or
introduced and are related to health commodity market or supply chain
best practices
Number of innovations: An innovation refers to new technologies, new
products, new approaches, and/or operational research studies developed, implemented, or introduced during the
period of reporting.
Project Records Quarterly
OBJ. 2 C2 Number of people trained
“People trained” refers to any type of participant, student, or learner in a
training event, regardless of its duration. People trained may refer to different
categories of participants (e.g., physicians, nurses, social workers).
Project Records Quarterly
Annex B. GHSC‐PSM M&E table Page 8
PMI FY2019 Annual Report Annex
Country ACTs (blister strips) Laboratory ITNs (nets) RDTs (tests) Other Pharma Severe Malaria Meds SMC (blister strips) SP
Angola 945,025 4,853,000 211,228 2,500,000 823,468 271,333
Benin 1,999,980 3,542,273 4,120,000 110,000 589,400 583,500
Burkina Faso 6,450,060 350,000 8,573,000 2,405,000
Burma 46,950 300,000 540,000
Burundi 2,000,000
Cambodia 85,000 5,000
Cameroon 90,060 1,352,250 485,900 5,833,000
Congo DRC 4,001,110 3,568,205 1,306,000 8,100,100 1,064,596 4,000,000
Côte d'Ivoire 786,000 139,422 1,869,000 60,000 1,099,000
Ethiopia 4,992,722 5,573,113 16,477,200 423,764
Ghana 1,502,435 8,000,000 4,000,000 237,033 1,189,100
Guinea 2,088,300 656,049 250,000 1,740,875 612,000 897,740 1,691,500
Kenya 1,388,250 490,575 3,050,000 763,100
Laos 174,588 100,000
Liberia 553,675 2,400,000 1,000,000 26,535 675,000
Madagascar 1,092,050 1,000,000 1,000,000 60,000 1,806,900
Malawi 1,883,820 4,037,122 1,400,000 4,000,000 27,916 2,400,000
Mali 1,429,140 1 1,575,000 1,000,000 3,000,000 1,000,017
Mozambique 6,725,010 1,597,000 7,500,000 229,458 3,553,650
Niger 770,010 3,082,525 374,864 5,315,100 1,600,000
Nigeria 16,353,630 121,460 3,100,000 15,454,775 97,044 7,763,950
Rwanda 915,630 2,700,000 142,104
Senegal 996,410 2,013,200 600,000 532,100 1,325,550
Sierra Leone 1,452,420 2,500,000 850,000 306,000
Tanzania 3,184,020 3,399,175 1,286,276
Thailand 80,000
Uganda 1,042,770 385,000 1,853,000 43,000
Zambia 3,500,040 15,965 8,565,200
Zimbabwe 811,030 712,569 1,000,000 69,133 535,700
Grand Total 60,007,825 26,244,524 33,289,723 85,335,725 18,094,200 8,060,031 20,023,100 #########
FY19 PMI procurement totals, by country (in treatments)
Annex C. Summary - Malaria Commodity Procurement by Country
Annex C. Treatments Procured Page 9
PMI FY2019 Annual Report Annex
Manufacturer Species
Pf
Pf
Pf/PAN
Pf/PV
PAN
Artron Laboratories Inc. Pf
Hangzhou Biotest Biotech Co., Ltd Pf
Pf
Pf/PAN
Pf
Pf/Pv
Pf/PAN
Pf
Pf
Pf/PAN
Pf/Pv
Manufacturer Brand Material Denier Pesticide Whopes StatusA to Z Textile Mills Ltd. Olyset® Polyethylene 150 Permethrin Full
BASF Interceptor® Polyester 100 Alpha-cypermethrin Full
Disease Control Technologies Royal Sentry® Polyethylene 150 Alpha-cypermethrin Full
Fujian Yamei Industry & Trade Co. Yahe® Polyester 100 Deltamethrin Interim
Shobikaa Impex Private Ltd. Duranet® Polyethylene 150 Alpha-cypermethrin Full
Pre-selected RDT Manufacturers
Annex D. Commodity Sources
Access Bio, Inc.
Premier Medical Corporation Ltd
Standard Diagnostics, Inc.
Test NameMalaria Rapid Diagnostic test (RDT) HRP2 (Pf) Cassette,
25 test (Bulk + POCT)
Malaria Rapid Diagnostic Test (RDT) HRP2/pLDH (Pf) Cassette, 25 Tests (Bulk packaging)
Malaria Rapid Diagnostic Test (RDT) HRP2/pLDH (Pf/PAN) Cassette, 25 Tests (Bulk packaging)
Malaria Rapid Diagnostic Test (RDT) HRP2/pLDH (Pf/Pv) Cassette, 25 Tests (Bulk packaging)
Malaria Rapid Diagnostic Test (RDT) pLDH (PAN) Cassette, 25 Tests (Bulk packaging)
Malaria Rapid Diagnostic test (RDT) HRP2 (Pf) Cassette, 25 test (Bulk packaging)
Malaria Rapid Diagnostic test (RDT) HRP2 (Pf) Cassette, 25 test (Bulk packaging)
Malaria Rapid Diagnostic test (RDT) HRP2 (Pf) Cassette, 25 tests (Bulk + POCT)
Malaria Rapid Diagnostic Test (RDT) HRP2/pLDH (Pf/Pv) Cassette, 25 Tests (Bulk packaging)
Malaria Rapid Diagnostic Test (RDT) HRP2/pLDH (Pf/PAN) Cassette, 25 Tests (Bulk packaging)
Tulip Diagnostics [P] Ltd
pLDH
HRP2
HRP2
Malaria Rapid Diagnostic Test (RDT) HRP2/pLDH (Pf/PAN) Cassette, 25 Tests (Bulk + POCT)
Malaria Rapid Diagnostic test (RDT) HRP2 (Pf) Cassette, 25 tests (Bulk packaging)
HRP2/pLDH
HRP2/pLDH
Malaria Rapid Diagnostic Test (RDT) HRP2/pLDH (Pf) Cassette, 25 Tests (Bulk + POCT)
Malaria Rapid Diagnostic Test (RDT) HRP2/pLDH (Pf/PAN) Cassette, 25 Tests or 30 Tests (Bulk + POCT)
HRP2
HRP2/pLDH
HRP2
HRP2/pLDH
HRP2/pLDH
Malaria Rapid Diagnostic test (RDT) HRP2 (Pf) Cassette, 25 tests (Bulk + POCT)
HRP2
Target Antigen
HRP2
HRP2/pLDH
HRP2/pLDH
HRP2/pLDH
Pre-Selected LLIN Manufacturers
Malaria Rapid Diagnostic Test (RDT) HRP2/pLDH (Pf/Pv) Cassette, 25 Tests (Bulk + POCT)
HRP2/pLDH
Annex D. Commodity Sources Page 10
PMI FY2019 Annual Report Annex
Manufacturer Brand Material Denier Pesticide Whopes StatusSumitomo Chemical Co. Ltd. Olyset® Polyethylene 150 Permethrin Full
Vestergaard SA PermaNet 2.0® Polyester 100 Deltamethrin Full
Manufacturer Product
ALU
ALU
Macleods ALUALU
Manufacturer Product
Manufacturer Product Details
20 mg artemether/120 mg lumefantrine 6x1 DT, 6x2 DT, 6x1, 6x2, 6x3, 6x425 mg artesunate/67.5 mg amodiaquine 1x3
20 mg artemether/120 mg lumefantrine 6x1 DT, 6x2 DT, 6x1, 6x2, 6x3, 6x4
Ajanta
WHO Pre-Qualified ACT Manufacturers
Details
Cipla
ASAQ
ASAQ
ALU
80 mg artemether/480 mg lumefantrine 6x120 mg artemether/120 mg lumefantrine 6x1, 6x2, 6x3, 6x420 mg artemether/120 mg lumefantrine 6x1, 6x2, 6x3, 6x4
50 mg artesunate/135 mg amodiaqune 1x3100 mg artesunate/270 mg amodiaqune 1x3, 1x6
20 mg artemether/120 mg lumefantrine 6x1, 6x2, 6x3, 6x4
25 mg artesunate/67.5 mg amodiaquine 1x350 mg artesunate/135 mg amodiaqune 1x3
100 mg artesunate/270 mg amodiaqune 1x3, 1x6
Guilin SPAQ
Amodiaquine 76.5 mg + Sulfadoxine/Pyrimethamine 250/125 mg Dispersible Tablets, 50 x 1 SP + 3 AQ Co‐Blister Tablets
Amodiaquine 153 mg + Sulfadoxine/Pyrimethamine 500/25 mg Dispersible Tablets, 50 x 1 SP + 3 AQ Co‐Blister Tablets
WHO Pre‐Qualified Other‐Pharmaceutical ManufacturersDetails
100 mg artesunate/270 mg amodiaqune 1x3, 1x625 mg artesunate/67.5 mg amodiaquine 1x350 mg artesunate/135 mg amodiaqune 1x3
Novartis
Ipca
Guilin
Sanofi ASAQ
100 mg artesunate/270 mg amodiaqune 1x3, 1x6
ASAQ
ASAQ25 mg artesunate/67.5 mg amodiaquine 1x350 mg artesunate/135 mg amodiaqune 1x3
100 mg artesunate/270 mg amodiaqune 1x3, 1x625 mg artesunate/67.5 mg amodiaquine 1x350 mg artesunate/135 mg amodiaqune 1x3
Guilin Artesunate Injectable
Artesunate (w/ 1 Amp NaHCO3 5% + 1 Amp NaCl 09%) 60 mg Vial, 1 Set
Artesunate (w/ 1 Amp NaHCO3 5% + 1 Amp NaCl 09%) 30 mg Vial, 1 Set
Artesunate (w/ 1 Amp NaHCO3 5% + 1 Amp NaCl 09% + 2 x 10 mL Syringe) 60 mg Vial, 1 Set
Annex D. Commodity Sources Page 11
PMI FY2019 Annual Report Annex
Total value of all product
procured
Framework contract
percentage
Total value of all product
procured
Framework contract
percentage
Total value of all product procured
Framework contract
percentage
Total value of all product procured
Framework contract
percentage
Task Order 2 $48,052,153.00 60% $21,178,130.00 68% $45,276,343.00 74% $22,511,210 57%
ACTs $11,533,056.00 98% $7,229,582.00 100% $3,609,049.00 81% $3,796,569 100%
LLINs $17,978,765.00 0% $6,470,372.00 0% $35,835,060.00 100% $9,625,268 0%
Laboratory $7,050.00 0% $24,158.00 0% $612,773.00 0% $3,903 0%
Other non-pharma $192,000.00 0% $177,090.00 0% $184,773.00 0%
Other pharma $1,113,439.00 100% $161,637.00 100% $166,574.00 40% $51,950 100%
Severe malaria meds $5,808,062.00 100% $2,922,662.00 100% $314,471.00 56% $2,509,893 100%
mRDTs $10,279,129.00 92% $2,523,760.00 100% $3,667,478.00 100% $956,784 100%
Seasonal Malaria Chemoprevention
$4,040,760 100%
Sulphadoxine-pyrimethamine
$1,140,653.00 100% $1,668,867.00 100% $886,166.00 0% $1,526,083 100%
Annex E. GHSC-PSM Procurement IndicatorsA10. Percentage of product procured using a framework contract (framework contract percentage)
FY19Q1 FY19Q2 FY19Q3 FY19Q4
Annex E. Procurement Page 12
PMI FY2019 Annual Report Annex
Total
number of
line items
delivered
Number of
line items
delivered
on time
and in full
On time in
full (%)
Total
number of
line items
delivered
Number of
line items
delivered
on time
and in full
On time in
full (%)
Total
number of
line items
delivered
Number of
line items
delivered
on time
and in full
On time in
full (%)
Total
number of
line items
delivered
Number of
line items
delivered
on time
and in full
On time in
full (%)
Task Order 2 188 167 89% 202 186 92% 270 238 88% 205 187 91%
ACTs 60 56 93% 126 118 94% 118 114 97% 53 49 92%
Laboratory 4 4 100% 1 1 100% 4 2 50% 55 54 98%
LLINs 54 49 91% 23 21 91% 25 25 100% 20 19 95%
mRDTs 16 7 44% 20 18 90% 52 34 65% 23 17 74%
Other Non-Pharma 4 4 100% 5 2 40% 16 15 94%
Other Pharma 3 3 100% 2 2 100% 4 4 100% 2 2 100%
Severe Malaria Meds 45 43 96% 21 17 81% 19 15 79% 25 20 80%
Seasonal Malaria Chemoprevention 2 2 100% 19 18 95% 1 1 100%
Sulphadoxine-pyrimethamine 2 2 100% 7 6 86% 19 18 96% 10 10 100%
Total
number of
line items
with ADDs
in the
quarter
Number of
line items
with ADDs
in the
quarter
delivered
on time
On time
delivery
(%)
Total
number of
line items
with ADDs
in the
quarter
Number of
line items
with ADDs
in the
quarter
delivered
on time
On time
delivery
(%)
Total
number of
line items
with ADDs
in the
quarter
Number of
line items
with ADDs
in the
quarter
delivered
on time
On time
delivery
(%)
Total
number of
line items
with ADDs
in the
quarter
Number of
line items
with ADDs
in the
quarter
delivered
on time
On time
delivery
(%)
Task Order 2 189 178 94% 203 189 93% 264 256 97% 207 201 97%
ACTs 61 61 100% 124 118 95% 118 118 100% 53 53 100%
Laboratory 4 4 100% 3 1 33% 2 2 100% 59 58 98%
LLINs 56 49 88% 21 21 100% 25 25 100% 22 19 86%
mRDTs 11 9 82% 21 21 100% 51 44 86% 24 23 96%
Other Non-Pharma 4 4 100% 2 2 100% 3 2 67% 16 16 100%
Other Pharma 4 4 100% 2 2 100% 4 4 100% 2 2 100%
Severe Malaria Meds 47 44 94% 22 18 82% 18 17 94% 19 19 100%
Seasonal Malaria Chemoprevention 2 2 100% 19 19 100% 1 1 100%
Sulphadoxine-pyrimethamine 2 2 100% 6 6 100% 24 24 100% 11 10 91%
Annex F. OTIF and OTD for Task Order 2A1a. Percentage of line items delivered on time and in full, within the minimum delivery window (OTIF)
Product Category
FY19Q1 FY19Q2 FY19Q3 FY19Q4
A1b. Percentage of line items delivered on time, within the minimum delivery window (OTD)
Product Category
FY19Q1 FY19Q2 FY19Q3 FY19Q4
Annex F. OTD & OTIF for TO2 Page 13
PMI FY2019 Annual Report Annex
FY19 Q1 FY19 Q2 FY19 Q3 FY19 Q4 Target
328 341 324 322 315
3
18%
(-)31% 38.0% (-)28%
7% 2% 35%
(-)20% (-)33% (-)80%
(-)27% (-)37% 27%
68% 66% 69% 79% 70%
0.6% 0.3% 1.1% 0.5% 5%
A5. Total landed cost (logistics and headquarters operations costs) 36.6% 38.7%
A8. Average percentage of shelf life remaining for warehoused commodities, weighted by the value of each commodity’s stock (product at risk percentage)
A16. Percentage of backlogged line items
A6a. Supply plan error - Single quarter - ACTs
A6a. Supply plan error - Rolling four quarters - ACTs
A6a. Supply plan error - Single quarter - mRDTs
A6a. Supply plan error - Rolling four quarters - mRDTs
A5. Total landed cost (logistics costs only) 33.3% 34.7%
Annex H. Other GHSC-PSM Logistics IndicatorsOther Global Supply Chain Logistics Indicators for TO2
Indicator
A3. Cycle time (average)
A4. Inventory Turns 3.9
Annex H. Other Logistics Page 14
PMI FY2019 Annual Report Annex
FY19 Q1
% Total Line Items % Total Line Items % Total Line Items
TO2 Overall -- 5.0% 202 10.0% 270 9.8% 205
ACTs 1.6% 126 7.6% 118 11.3% 53
Laboratory -- 0.0% 1 0% 4 0% 55
LLINs -- 0.0% 23 0% 25 0% 20
mRDTs -- 0.0% 20 0% 52 0% 23
Other Non-Pharma -- 0.0% 5 0% 16
Other Pharma -- 100.0% 2 50.0% 4 100% 2
Severe Malaria Meds -- 19.0% 21 57.9% 19 16% 25
Seasonal Malaria Chemoprevention -- 0.0% 2 10.5% 19 100% 1
Sulphadoxine-pyrimethamine -- 28.6% 7 12.5% 24 70% 10
FY19 Q4FY19 Q3FY19 Q2Tracer Item Category
Annex I. Commodity Importation WaiversA7. Percentage of Delivered Line Items that required Temporary Waiver Registration
Annex I. Commodity Waivers Page 15
PMI FY2019 Annual Report Annex
FY19Q1 FY19Q2 FY19Q3 FY19Q4
ACTs 77% 88% 81% 100%
RDTs 91% 82% 100% 100%
SP 33% 67% 0% 100%
LLINs 100% 100% 100% 100%Severe malaria
medications 100% 54% 56% 100%
Other pharma 50% 0% 40% 100%TO2 Overall 84% 80% 74% 100%
Overall Target 80% 80% 80% 80%
FY19Q1 FY19Q2 FY19Q3 FY19Q4
ACTs 0% 0% 0% 0%
RDTs 0% 0% 0% 0%
SP 0% 0% 0% 0%
LLINs 0% 0% 0% 0%Severe malaria
medications 0% 0% 0% 0%
Other pharma 0% 0% 0% 0%
TO2 Overall 0% 0% 0% 0%
FY19: Q1 &Q2 FY19: Q3 &Q4 FY19 Target
100% 50% 90%
90%
90%
90%
90%
90%
100% 50% 90%
Severe malaria medications
Other pharma
TO2 Overall
ACTs
RDTs
SP
LLINs
A15. Percentage of quality assurance investigation reports submitted within 30 calendar days of outcome determination
Annex J. Global Supply Chain Indicators: Quality Assurance
A2. Percentage of quality assurance (QA) processes completed within the total estimated QA lead times
A13: Percentage of batches of product for which the final result is showing nonconformity (out-of-specification-percentage)
Note: Overall TO2 Target is <1%
Annex J. QA Page 16
PMI FY2019 Annual Report Annex
FY19Q1 FY19Q2 FY19Q3 FY19Q4 FY19 TotalFemale 42 30 72
Male 76 99 175
Total 118 129 247 Female 75 39 16 130
Male 297 120 39 456
Total 372 159 55 586 Female 2 2
Male 3 3
Total 5 5 Female 8 33 41
Male 7 18 25
Total 15 51 66 Female 3 10 148 42 203
Male 8 29 157 81 275
Total 11 39 305 123 478 Female 21 12 15 48
Male 33 65 22 120
Total 54 77 37 168 Female 3 12 13 28
Male 22 51 8 32 113
Total 25 63 8 45 141 Female 5 54 59
Male 7 93 100
Total 12 147 159 Female 56 8 64
Male 80 36 116
Total 136 44 180 Female 2 6 8
Male 9 10 2 21
Total 11 16 2 29 Female 1 3 6 10
Male 1 3 5 9
Total 2 6 11 19 Female 2 2 4
Male 5 10 15
Total 7 12 19 Female 54 9 58 26 147
Male 29 9 30 35 103
Total 83 18 88 61 250 Female 3 3
Male 12 10 22
Total 12 13 25 Female 23 4 585 612
Male 43 4 788 835
Total 66 8 1,373 1,447 Female 1 2 56 40 99
Male 4 48 82 134
Total 5 2 104 122 233 Female 9 11 15 35
Male 9 14 16 39
Total 18 25 31 74 Female 9 9
Male 12 12
Total 21 21 162 119 466 827 1,574
413 273 639 1,248 2,573
575 392 1,105 2,075 4,147
Cameroon
Niger
Angola
Burkina Faso
Burma
Burundi
Cambodia
Sub-Total Male
Grand Total
Annex K. People Trained by Quarter -TO2 Only
Mozambique
Nigeria
Rwanda
Zambia
Zimbabwe
Sub-Total Female
Ethiopia
Ghana
Guinea
Malawi
Mali
Indicator C2: People trained by GHSC-PSM, by country, by gender
Liberia
Annex K. People Trained TO2 Page 17
PMI FY2019 Annual Report Annex
Country Task OrderForecasting and Supply Planning
Governance and Financing
Human Resources Capacity
Development
MISMonitoring
and Evaluation
Quality Assurance
Strategy and Planning
Transportation and Distribution
Warehousing and Inventory Management
Sub-total Country
Sub Total
TO 1,3,4 13 7 4 161 185
TO2 Specific 151 47 198
Cross TO (TO2 share) 49 49
TO 1,3,4
TO2 Specific 27 396 16 147 586
Cross TO (TO2 share)
TO 1,3,4 39 19 4 62
TO2 Specific
Cross TO (TO2 share) 5 5
TO 1,3,4 29 104 133
TO2 Specific
Cross TO (TO2 share) 66 66
TO 1,3,4 2 115 117
TO2 Specific 144 4 96 211 11 466
Cross TO (TO2 share) 12 12
TO 1,3,4 84 52 136
TO2 Specific 60 17 77
Cross TO (TO2 share) 85 6 91
TO 1,3,4 8 70 23 24 447 28 600
TO2 Specific 26 26
Cross TO (TO2 share) 5 29 18 53 10 115
TO 1,3,4 13 24 284 321
TO2 Specific
Cross TO (TO2 share) 12 147 159
TO 1,3,4 13 7 68 61 5 154
TO2 Specific 46 46 92
Cross TO (TO2 share) 9 4 38 34 3 88
TO 1,3,4 50 23 245 1 319
TO2 Specific
Cross TO (TO2 share) 17 10 2 29
TO 1,3,4 27 90 54 171
TO2 Specific
Cross TO (TO2 share) 2 17 19
TO 1,3,4 27 27
TO2 Specific
Cross TO (TO2 share) 19 19
TO 1,3,4 207 94 54 37 29 654 1075
TO2 Specific 43 35 78
Cross TO (TO2 share) 18 12 7 6 129 172
TO 1,3,4
TO2 Specific 7 8 10 25
Cross TO (TO2 share)
TO 1,3,4 4483 7 976 5466
TO2 Specific 66 66
Cross TO (TO2 share) 1373 8 1381
TO 1,3,4 35 28 1230 275 1568
TO2 Specific 122 122
Cross TO (TO2 share) 3 2 106 111
TO 1,3,4 1006 1006
TO2 Specific
Cross TO (TO2 share) 74 74
TO 1,3,4 69 112 30 211
TO2 Specific
Cross TO (TO2 share) 21 21
TO 1,3,4 229 70 1356 5352 146 110 1677 145 2466 11551
TO2 Specific 197 219 464 223 96 401 136 1736
Cross TO (TO2 share) 48 29 78 1694 72 7 159 27 297 2411
467 99 1653 7502 431 117 1932 573 2899
Cameroon 304
Grand Total for Technical Area
Zambia 1080
Zimbabwe 232
Sub-Total
Mozambique 1325
Nigeria 6913
Rwanda 1801
Liberia
Niger 25
Ethiopia 741
Ghana 480
Guinea 334
348
Malawi 190
Mali 46
Burma 67
Burundi 199
Cambodia 595
Annex L. People Trained- Funding Source
FY19 People Trained with Funding from TO2; from TOs 1,3,4; or with cross-cutting support
Angola 432
Burkina Faso 586
Annex L. People Trained Total Page 18
PMI FY2019 Annual Report Annex
Cou
ntry
Proj
ect
Qua
rter
s
Ove
rall
Stoc
k ou
t
rate
Firs
t-lin
e A
CT
s (A
L
6X1)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
6X2)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
6X3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
6X4)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
inab
ility
to
trea
t)
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
25/
67.5
mg)
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
50/
135m
g)
Den
omin
ator
RD
Ts
for
Mal
aria
Den
omin
ator
Sulp
hado
xine
-
pyri
met
ham
ine
(SP)
Den
omin
ator
LLIN
s
Den
omin
ator
FY19Q1 13% 17% 12 8% 12 8% 12 8% 12 0% 12 17% 12 100% 1
FY19Q2 48% 33% 12 33% 12 33% 12 33% 12 0% 12 53% 450 53% 450 54% 450 39% 450 31% 462 62% 452
FY19Q3 51% 25% 12 33% 12 17% 12 25% 12 62% 607 53% 595 57% 595 60% 595 55% 595 25% 607 16% 110
FY19Q4 27% 50% 10 60% 10 40% 10 30% 10 57% 713 25% 703 17% 703 27% 703 22% 703 10% 713 36% 225
Trend
FY19Q1 19% 24% 1688 12% 1688 24% 1688 18% 1688 4% 1688 36% 1688 39% 1688 6% 1688 7% 1688 5% 1688
FY19Q2 10% 23% 1766 6% 1766 19% 1766 10% 1766 1% 1766 1% 1766 5% 1766 7% 1766
FY19Q3 7% 21% 1337 46% 1337 10% 1337 7% 1337 1% 1337 1% 1337 5% 1337 8% 1337
FY19Q4 17% 21% 80 38% 80 25% 80 15% 80 3% 80 6% 80 11% 80 15% 80
Trend
FY19Q1 0.9% 0% 729 3% 736 0.2% 665 0% 665 1% 714 1% 712 1% 757
FY19Q2 1.5% 2% 829 4% 824 0.7% 752 1% 786 1% 864 1% 752 1% 792
FY19Q3 1.1% 2% 686 1% 739 0.4% 667 2% 708 1% 736 1% 643 1% 691
FY19Q4 0.7% 1% 799 1% 821 0.4% 737 1% 782 1% 815 0% 698 1% 755
Trend
FY19Q1FY19Q2
FY19Q3 49% 50% 24 13% 24 4% 24 17% 24 80% 81 85% 81 64% 81 69% 81 30% 105 14% 105
FY19Q4 47% 27% 11 36% 11 64% 11 18% 11 81% 80 78% 80 68% 80 71% 80 4% 91 1% 91
Trend
FY19Q1 10% 17% 415 11% 453 12% 323 6% 733 3.9% 804 9% 355
FY19Q2 12% 18% 360 10% 486 13% 352 8% 742 4.5% 822 16% 366
FY19Q3 11% 19% 331 18% 453 18% 297 7% 728 5.0% 820 7% 339
FY19Q4 12% 16% 403 20% 350 21% 336 15% 682 1.0% 785 11% 324
Trend
Annex M. Stockout Rates at Service Delivery PointsIndicator B1: Stockout rates of Malaria Commodities at Service Delivery Points for FY18
Angola
Burundi
(non- project
supported
sites)
Burkina Faso
Cameroon
Ethiopia
Annex M. Stockout rates SDPs Page 19
PMI FY2019 Annual Report Annex
Cou
ntry
Proj
ect
Qua
rter
s
Ove
rall
Stoc
k ou
t
rate
Firs
t-lin
e A
CT
s (A
L
6X1)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
6X2)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
6X3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
6X4)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
inab
ility
to
trea
t)
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
25/
67.5
mg)
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
50/
135m
g)
Den
omin
ator
RD
Ts
for
Mal
aria
Den
omin
ator
Sulp
hado
xine
-
pyri
met
ham
ine
(SP)
Den
omin
ator
LLIN
s
Den
omin
ator
FY19Q1
FY19Q2 41% 44% 61 60% 53 84% 19 27% 94 6% 94 79% 52 70% 43 46% 67 51% 53 16% 84 12% 84 35% 94
FY19Q3
FY19Q4 54% 73% 101 63% 101 96% 101 18% 101 12% 101 97% 101 90% 101 81% 101 77% 101 13% 101 17% 100 9% 101
Trend
FY19Q1 5% 6% 432 5% 433 5% 433 9% 427 0.2% 433 3% 432 4% 424
FY19Q2 10% 9% 492 7% 492 8% 492 14% 491 0.6% 492 1% 492 13% 492 19% 491
FY19Q3 5% 5% 500 5% 503 5% 501 10% 499 1.0% 495 2% 499 10% 502 3% 502
FY19Q4 6% 7% 487 22% 461 6% 488 5% 488 1.6% 489 3% 489 1% 460
Trend
FY19Q1
FY19Q2
FY19Q3 30% 29% 86 28% 86 43% 86 28% 86 7% 86 40% 86 34% 86 49% 86 34% 86 17% 86 16% 86 37% 86
FY19Q4
Trend
FY19Q1 8% 12% 654 6% 660 3% 657 4% 663 0% 655 3% 663 7% 645 22% 547
FY19Q2 6% 1% 618 8% 616 7% 616 5% 622 0% 613 2% 619 6% 607 12% 527
FY19Q3 5% 4% 617 12% 615 8% 614 5% 620 1% 612 1% 616 5% 597 7% 534
FY19Q4 6% 2% 623 5% 616 3% 618 2% 626 0% 626 1% 625 5% 555
Trend
FY19Q1 10% 7% 921 12% 892 23% 719 10% 896 1% 968 5% 935 4% 923 11% 872
FY19Q2 14% 8% 1038 13% 1018 23% 912 27% 943 1% 1063 7% 1041 8% 1021 16% 995
FY19Q3 5% 6% 1058 7% 1028 15% 882 28% 760 1% 1097 5% 597 8% 524 7% 242
FY19Q4 3% 5% 1034 2% 986 4% 872 5% 807 0% 1149 2% 802 2% 663 11% 309
Trend
Ghana
Guinea
Malawi
Liberia
Mali
Annex M. Stockout rates SDPs Page 20
PMI FY2019 Annual Report Annex
Cou
ntry
Proj
ect
Qua
rter
s
Ove
rall
Stoc
k ou
t
rate
Firs
t-lin
e A
CT
s (A
L
6X1)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
6X2)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
6X3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
6X4)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L
inab
ility
to
trea
t)
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
25/
67.5
mg)
Den
omin
ator
Firs
t-lin
e A
CT
s
(AS/
AQ
50/
135m
g)
Den
omin
ator
RD
Ts
for
Mal
aria
Den
omin
ator
Sulp
hado
xine
-
pyri
met
ham
ine
(SP)
Den
omin
ator
LLIN
s
Den
omin
ator
FY19Q1 27% 31% 601 26% 589 35% 572 33% 594 0% 601 16% 648 24% 509 23% 207
FY19Q2 28% 32% 534 29% 534 36% 516 34% 542 10% 579 11% 440 24% 404 25% 185
FY19Q3 12% 15% 651 23% 633 14% 636 14% 640 2% 669 5% 597 11% 524 19% 242
FY19Q4 12% 15% 811 18% 817 11% 805 14% 825 1% 875 5% 802 12% 663 39% 309
Trend
FY19Q1
FY19Q2
FY19Q3 14% 9% 58 10% 58 24% 58 16% 58 3% 58 10% 58 10% 58 33% 58
FY19Q4
Trend
FY19Q1 11% 8% 3223 12% 3351 18% 3105 11% 3401 4% 3467 5% 1560 7% 1623 5% 2079 6% 1571 12% 3359 9% 3075 34% 1148
FY19Q2 7% 5% 3442 6% 3411 9% 3414 6% 3436 1% 3460 8% 2164 8% 2134 6% 2435 7% 2220 7% 3405 7% 3106 6% 2584
FY19Q3 8% 4% 3496 4% 3492 6% 3480 4% 3497 1% 3509 2% 2460 3% 2363 2% 2572 2% 2469 6% 3488 29% 2662 43% 2282
FY19Q4 5% 4% 3494 5% 3492 9% 3479 4% 3501 1% 3515 2% 2537 2% 2337 1% 2529 2% 2467 9% 3482 6% 3062 17% 2491
Trend
FY19Q1 0.6% 1% 512 0.8% 511 0.7% 457 0.7% 537 0% 504 0% 459
FY19Q2 1.2% 1.4% 506 1.1% 551 1.3% 550 0.9% 562 0.0% 531 1.4% 500
FY19Q3 0.7% 1% 546 1.3% 544 0.5% 547 0.7% 560 0% 565 1% 515
FY19Q4 1.1% 1.6% 485 1.8% 562 1.2% 500 0.6% 520 0.0% 541 1.5% 531
Trend
FY19Q1 12% 7% 239 10% 236 13% 200
FY19Q2 5% 2% 510 4% 499 6% 406
FY19Q3 5% 4% 468 4% 461 7% 407
FY19Q4 5% 3% 469 4% 464 9% 405
Trend
FY19Q1 15% 10% 1695 153% 1654 12% 1664 15% 1668 9% 1748 5% 1516 36% 1365
FY19Q2 21% 26% 1731 16% 1727 13% 1739 19% 1726 2% 1837 9% 1679 43% 1540
FY19Q3 25% 28% 1765 31% 1749 23% 1786 24% 1794 4% 1893 14% 1816 56% 1549
FY19Q4 21% 20% 1783 21% 1743 13% 1800 24% 1778 2% 1905 10% 1783 63% 1502
Trend
FY19Q1 10% 7% 1640 17% 1622 13% 1641 6% 1671 0.8% 1677 2.6% 1661 24% 741
FY19Q2 10% 10% 1603 18% 1597 10% 1600 6% 1639 1.8% 1644 3% 1634 11% 717
FY19Q3 17% 33% 718 19% 718 18% 718 12% 718 4.0% 718 10% 540 23% 503
FY19Q4 10% 21% 1220 12% 1219 11% 1223 9% 1227 1.0% 1227 7% 1235 9% 562
Trend
Niger
Mozambique
GHSC-PSM does not have data points for gray cells. Possible reasons are: 1) Commodities are not tracer commodities for that country or data are not available from the country's LMIS; 2)Periods of time for which data for those commodities were not available or reporting systems were
not ready to provide that information; 3)Activities had not started yet in those countries.
Zimbabwe
Zambia
Nigeria
Rwanda
Uganda
Annex M. Stockout rates SDPs Page 21
PMI FY2019 Annual Report Annex
Cou
ntry
Proj
ect
Qua
rter
s
Ove
rall
TO
2 SA
TP
rate
Firs
t-lin
e A
CT
s (A
L 6X
1)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
2)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
4)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx6)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
25/6
7.5m
g)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
50/1
35m
g)
Den
omin
ator
RD
Ts
for
Mal
aria
Den
omin
ator
Sulp
hado
xine
-
pyri
met
ham
ine
(SP)
Den
omin
ator
LLIN
s
Den
omin
ator
FY19Q1 5.4% 0% 57 0% 57 0% 57 0% 57 7.0% 57 11.0% 57 4% 57 4% 57 26% 57 4% 57
FY19Q2 4.6% 0% 57 1.8% 57 0% 57 4% 57 2% 57 14% 57 0% 57 2% 57 18% 57 5% 57
FY19Q3 5.0% 0% 57 5% 57 0% 57 5% 57 5% 57 11% 57 0% 57 5% 57 12% 57 7% 57
FY19Q4 6.6% 2% 57 3.5% 57 4% 57 4% 57 9% 57 12% 57 0% 57 7% 57 7% 57 19% 57
SATP Trend
FY19Q1 56% 100% 1 100% 1 0% 1 0% 1 100% 1 0% 1 100% 1 0% 1 100% 1
FY19Q2 29% 0% 1 0% 1 0% 1 0% 1 100% 1 0% 1 100% 1
FY19Q3 14% 0% 1 0% 1 0% 1 100% 1 0% 1 0% 1 0% 1
FY19Q4 0% 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1
SATP Trend
FY19Q1 100% 100% 1 100% 1
FY19Q2 21% 20% 20 25% 20 0% 2
FY19Q3 79% 70% 20 85% 20 100% 2
FY19Q4 21% 5% 20 40% 20 0% 2
SATP Trend
Annex N. Stocked According to Plan Rates at Storage Sites
Burma
Burkina Faso
Indicator B2: Stocked according to plan (SATP) rates of malaria commodities at central and first subnational level storage sites for FY18
Angola
Annex N. Country Stock Status Page 22
PMI FY2019 Annual Report Annex
Cou
ntry
Proj
ect
Qua
rter
s
Ove
rall
TO
2 SA
TP
rate
Firs
t-lin
e A
CT
s (A
L 6X
1)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
2)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
4)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx6)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
25/6
7.5m
g)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
50/1
35m
g)
Den
omin
ator
RD
Ts
for
Mal
aria
Den
omin
ator
Sulp
hado
xine
-
pyri
met
ham
ine
(SP)
Den
omin
ator
LLIN
s
Den
omin
ator
FY19Q1 47% 32% 72 40% 65 37% 70 51% 73 25% 67 37% 67 77% 141
FY19Q2 41% 19% 75 31% 72 33% 82 35% 79 27% 74 51% 71 67% 141
FY19Q3 43% 28% 94 28% 95 32% 96 31% 96 26% 97 40% 89 89% 141
FY19Q4 36% 29% 90 33% 89 31% 89 13% 89 18% 89 38% 47 84% 95
SATP Trend
FY19Q1
FY19Q2 9% 0% 6 0% 6 0% 6 17% 6 0% 13 36% 14 7% 15 0% 15 15% 13 7% 14
FY19Q3 14% 0% 6 33% 6 33% 6 0% 6 17% 12 8% 12 0% 12 0% 12 22% 18 22% 18
FY19Q4 16% 0% 6 0% 6 0% 6 33% 6 13% 8 29% 7 0% 7 29% 7 29% 14 14% 14
SATP Trend
FY19Q1 14% 11% 18 22% 18 11% 18 11% 18 16.7% 18
FY19Q2 14% 11% 19 5% 19 5% 19 32% 19 15.8% 19
FY19Q3 13% 16% 19 0% 19 16% 19 5% 19 26.0% 19
FY19Q4 11% 5% 19 0% 19 11% 19 11% 19 26.0% 19
SATP Trend
FY19Q1 15% 33% 33 3% 33 0% 33 3% 33 6% 33 0% 33 24% 33 12% 33 30% 33 33% 33
FY19Q2 10% 9% 33 0% 33 0% 33 27% 33 3% 33 0% 33 0% 33 0% 33 36% 33 24% 33
FY19Q3 18% 15% 33 33% 33 27% 33 27% 33 0% 33 0% 33 12% 33 0% 33 24% 33 39% 33
FY19Q4 13% 3% 33 6% 33 9% 33 24% 33 6% 33 6% 33 24% 33 12% 33 18% 33 18% 33
SATP Trend
Ghana
Ethiopia
Cameroon
Burundi
Annex N. Country Stock Status Page 23
PMI FY2019 Annual Report Annex
Cou
ntry
Proj
ect
Qua
rter
s
Ove
rall
TO
2 SA
TP
rate
Firs
t-lin
e A
CT
s (A
L 6X
1)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
2)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
4)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx6)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
25/6
7.5m
g)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
50/1
35m
g)
Den
omin
ator
RD
Ts
for
Mal
aria
Den
omin
ator
Sulp
hado
xine
-
pyri
met
ham
ine
(SP)
Den
omin
ator
LLIN
s
Den
omin
ator
FY19Q1 17% 14% 7 42% 7 0% 7 14% 7 14% 7 14% 7
FY19Q2 12% 14% 7 14% 7 0% 7 29% 7 14% 7 0% 7
FY19Q3 24% 29% 7 29% 7 14% 7 14% 7 43% 7 14% 7
FY19Q4 36% 29% 7 29% 7 71% 7 0% 7 43% 7 43% 7
SATP Trend
FY19Q1 12% 0% 3 0% 3 0% 3 0% 3 33% 3 0% 3 0% 3 0% 3 33% 3 0% 3 67% 3
FY19Q2 33% 0% 3 0% 3 0% 3 0% 3 33% 3 67% 3 0% 3 33% 3 67% 3 67% 3 100% 3
FY19Q3 30% 33% 3 0% 3 0% 3 33% 3 33% 3 67% 3 0% 3 33% 3 67% 3 0% 3 67% 3
FY19Q4 30% 67% 3 67% 3 67% 3 0% 3 33% 3 0% 3 67% 3 0% 3 0% 3 0% 3 33% 3
SATP Trend
FY19Q1 43% 0% 2 0% 2 0% 2 0% 2 100% 2 100% 2 100% 2
FY19Q2 57% 100% 2 0% 2 0% 2 0% 2 100% 2 100% 2 100% 2
FY19Q3 57% 100% 2 0% 2 100% 2 100% 2 100% 2 0% 2 0% 2
FY19Q4 43% 100% 3 0% 3 0% 3 100% 3 100% 3 0% 3 0% 3
SATP Trend
Malawi
Liberia
Guinea
Annex N. Country Stock Status Page 24
PMI FY2019 Annual Report Annex
Cou
ntry
Proj
ect
Qua
rter
s
Ove
rall
TO
2 SA
TP
rate
Firs
t-lin
e A
CT
s (A
L 6X
1)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
2)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
4)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx6)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
25/6
7.5m
g)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
50/1
35m
g)
Den
omin
ator
RD
Ts
for
Mal
aria
Den
omin
ator
Sulp
hado
xine
-
pyri
met
ham
ine
(SP)
Den
omin
ator
LLIN
s
Den
omin
ator
FY19Q1 28% 33% 3 33% 3 0% 3 0% 3 33% 3 67% 3
FY19Q2 3% 7% 15 0% 15 0% 17 0% 16 7% 15 7% 15
FY19Q3 6% 17% 6 0% 6 0% 6 0% 6 17% 6 0% 6
FY19Q4 19% 50% 6 0% 6 33% 6 17% 6 17% 6 0% 6
SATP Trend
FY19Q1 36% 33% 36 56% 36 39% 36 31% 36 44% 36 17% 36 33% 36
FY19Q2 33% 33% 39 26% 39 36% 39 26% 39 36% 39 26% 39 51% 39
FY19Q3 28% 18% 39 26% 39 46% 39 31% 39 38% 39 18% 39 18% 36
FY19Q4 31% 38% 39 15% 39 26% 39 33% 39 46% 39 21% 39 39% 36
SATP Trend
FY19Q1 20% 0% 1 0% 1 100% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 100% 1
FY19Q2 10% 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 0% 1 100% 1 0% 1
FY19Q3 50% 100% 1 100% 1 0% 1 100% 1 0% 1 0% 1 100% 1 0% 1 100% 1 0% 1
FY19Q4 60% 100% 1 100% 1 0% 1 0% 1 100% 1 100% 1 0% 1 100% 1 0% 1 100% 1
SATP Trend
FY19Q1 23% 29% 31 23% 31 19% 31 23% 31 19% 31
FY19Q2 35% 32% 31 32% 31 42% 31 39% 31 32% 31
FY19Q3 34% 32% 31 32% 31 45% 31 23% 31 39% 31
FY19Q4 34% 29% 31 35% 31 35% 31 32% 31 35% 31
SATP Trend
Rwanda
Nigeria
Mozambique
Mali
Annex N. Country Stock Status Page 25
PMI FY2019 Annual Report Annex
Cou
ntry
Proj
ect
Qua
rter
s
Ove
rall
TO
2 SA
TP
rate
Firs
t-lin
e A
CT
s (A
L 6X
1)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
2)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
L 6X
4)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx3)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx6)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
25/6
7.5m
g)
Den
omin
ator
Firs
t-lin
e A
CT
s (A
S/A
Q
50/1
35m
g)
Den
omin
ator
RD
Ts
for
Mal
aria
Den
omin
ator
Sulp
hado
xine
-
pyri
met
ham
ine
(SP)
Den
omin
ator
LLIN
s
Den
omin
ator
FY19Q1 17% 33% 3 67% 3 0% 3 0% 3 0% 3 0% 3
FY19Q2 11% 67% 3 0% 3 0% 3 0% 3 0% 3 0% 3
FY19Q3 28% 33% 3 67% 3 0% 3 0% 3 67% 3 0% 3
FY19Q4 39% 0% 3 0% 3 100% 3 67% 3 33% 3 33% 3
SATP Trend
FY19Q1 39% 33% 3 0% 3 100% 3 33% 3 67% 3 0% 3
FY19Q2 61% 100% 3 33% 3 67% 3 67% 3 100% 3 0% 3
FY19Q3 50% 0% 3 33% 3 100% 3 67% 3 100% 3 0% 3
FY19Q4 0% 100% 1 100% 1 100% 1 100% 1 100% 1 0% 1
SATP Trend
FY19Q1 17% 100% 1 0% 1 0% 1 0% 1 0% 1 0% 1
FY19Q2 17% 100% 1 0% 1 0% 1 0% 1 0% 1 0% 1
FY19Q3 33% 100% 1 0% 1 0% 1 100% 1 0% 0% 1
FY19Q4 33% 100% 1 0% 1 0% 1 100% 1 0% 1 0% 1
SATP Trend
Zimbabwe
Zambia
Uganda
"Stocked according to plan" (SATP) signifies stock observations that are within pre-determined maximum and minimum stock thresholds based on average monthly
consumption. Denominator in this indicator means total number of observations conducted at all central and first sub-national storage sites from which GHSC-PSM
collects data. Note: Gray indicates cells where GHSC-PSM does not have data points.
Possible reasons are: 1) Commodities are not tracer commodities for that country or data are not available from that country's LMIS; 2)Periods of time for which data
for those commodities were not available or reporting systems were not ready to provide that information; 3)Activities had not started yet in those countries.
Annex N. Country Stock Status Page 26
PMI FY2019 Annual Report Annex
Country Project Quarters Overall Reporting Rate Denominator
FY19Q1 90% 21,265
FY19Q2 87% 22,625
FY19Q3 77% 28,492
FY19Q4 82% 26,661
FY19Q1 100% 12
FY19Q2 47% 980
FY19Q3 63% 980
FY19Q4 75% 954
FY19Q1 73% 2,303
FY19Q2 76% 2337
FY19Q3 57% 2,337
FY19Q4 1% 2337
FY19Q1 98% 4,119
FY19Q2 100% 4,131
FY19Q3 100% 4,131
FY19Q4 96% 4,188
FY19Q1 90% 808
FY19Q2 83% 861
FY19Q3 87% 863
FY19Q4 78% 934
FY19Q1 82% 1,045
FY19Q2 84% 1,044
FY19Q3 84% 1,044
FY19Q4 80% 1,044
FY19Q1 96% 463
FY19Q2 97% 505
FY19Q3 100% 505
FY19Q4 98% 522
FY19Q1 100% 685
FY19Q2 94% 656
FY19Q3 96% 643
FY19Q4 92% 680
FY19Q1 87% 1,227
FY19Q2 96% 1,222
FY19Q3 93% 1,274
FY19Q4 96% 1,275
FY19Q1 56% 648
FY19Q2 65% 879
FY19Q3 75% 757
Annex O. LMIS Reporting Rates from Service Delivery Points
Mozambique
Ethiopia
Guinea
Malawi
Mali
Indicator B3. Service delivery point (SDP) reporting rate to the logistics management information system (LMIS)
TO2 Overall
Angola
Burkina Faso
Burma (non-project
supported sites)
Burundi (non-
supported)
Annex O. SDP Reporting Rates Page 27
PMI FY2019 Annual Report Annex
Country Project Quarters Overall Reporting Rate Denominator
FY19Q4 68% 923
FY19Q1 3,641
FY19Q2 3,666
FY19Q3 32% 3,687
FY19Q4 3,681
FY19Q1 99% 3,641
FY19Q2 98% 3,666
FY19Q3 98% 3,687
FY19Q4 98% 3,681
FY19Q1 94% 586
FY19Q2 93% 590
FY19Q3 96% 590
FY19Q4 94% 590
FY19Q1 100% 657
FY19Q2 97% 657
FY19Q3 97% 657
FY19Q4 98% 657
FY19Q1 89% 2,209
FY19Q2 92% 2,214
FY19Q3 92% 2,225
FY19Q4 92% 2,248
FY19Q1 93% 1,705
FY19Q2 80% 1,705
FY19Q3 41% 1,705
FY19Q4 52% 1,705
Country and task order reporting rates are for service delivery points located in GHSC-PSM-supported regions, unless otherwise noted. Note:
Gray indicates cells where GHSC-PSM does not have data points.
Possible reasons are: 1) Commodities that are not tracer commodities for that country or data is not available from their LMIS; 2)Periods of time
for which data for those commodities was not available or reporting systems were not ready to provide that information; 3)Activities had not
started yet in those countries
*Countries during start-up period were only able to report data out-of-cycle
Zambia
Zimbabwe
Niger
Nigeria
Rwanda
Uganda
Annex O. SDP Reporting Rates Page 28
PMI FY2019 Annual Report Annex
Country Angola Burundi Cameroon Ethiopia Ghana Guinea
Rating 6.32 [53] 7.55 [55] 4.01 [79] 6.82 [96] 3.0 [35] 7.09 [31]
Country Kenya Malawi Mali Mozambique Niger Nigeria
Rating 8.12 [118] 8.3 [70] 7.58 [78] 6.78 [74] 5.38 [54] 6.58 [165]
Country Rwanda Uganda Zambia Zimbabwe
Rating 5.97 [116] 8.19 [32] 7.51 [45] 7.52 [50]
94%Angola YES Ghana YES Mali YES South Sudan YES
Burkina Faso YES Guinea YES Mozambique YES Uganda NO
Burundi YES Madagascar YES Niger YES Zambia YES
Ethiopia YES Malawi YES Rwanda YES Zimbabwe YES
Host Country USG Global Fund Other$685,094 $7,469,302 $7,757,164
$642,896 $9,426,949 $47,226,990 $4,065,593
$549,600
$58,836,436 $5,240,318 $7,153,342
$13,395,810 $43,065,016 $35,824,255
$1,600,000 $8,800,500 $8,119,003
$5,244,468 $5,193,973
$2,607,274
$761,844
$7,532,111
$1,029,376 $4,640,255
$5,137,906 $10,873,307 $78,616
$1,033,821 $3,504,232 $1,285,295
$29,110,319
$214,526 $2,718,810 $6,292,196
$2,972,746 $14,874,400 $22,031,601 $862,128
$8,251,416 $5,388,657 $3,287,620
$238,554 $1,450,014 $665,784
72%Angola NO Ethiopia YES Mali YES Rwanda YES
Burkina Faso YES Ghana YES Mozambique YES Uganda NO
Burma NO Guinea YES Niger NO Zambia YES
Burundi YES Kenya YES Nigeria YES Zimbabwe YES
Cameroon NO Malawi YES
The number of sites visited, the levels of the supply chain assessed, and the extent to which countries were able to conduct representative assessments varied per country. The number of sites is in [brackets] next to the score. In many instances, the data
have limited ability to be generalized outside of the sites visited. This data represents TO2 commodities ONLY
Annex P-a. Country Supply Chain IndicatorsB4. Average rating of in-country data confidence at the central, subnational, and SDP levels
GHSC-PSM developed a data quality assessment (DQA) user guide to measure the average rating of in-country data confidence. Countries are scored on a scale of 0-3 for each of three data quality attributes: data completeness, accuracy, and timeliness. For
each site, the three scores are summed to get a score ranging from 0 to 9. A score of 8-9 is considered "very good," 6-7 is considered "good," 4-5 is "fair," 2-3 is "poor," and 0-1 is "very poor."
TO2 Overall FY18
6.71[1151]
B5. Percentage of GHSC-PSM countries conducting annual forecastsTO2 Countries Denominator 16 countries
B7. Percentage of total spent or budgeted on procurement of commodities for public sector services by the government, USG, or other sources
Burkina Faso $61,362,428
Burundi $549,600
Cameroon $71,230,097
Ethiopia $92,285,081
Ghana $18,519,503
Guinea $10,438,441
Kenya $2,607,274
Liberia $761,844
Malawi $7,532,111
$5,669,631
Mozambique $16,089,828
Niger $5,823,348
B10. Percentage of GHSC-PSM-supported countries that have a functional logistics TO2 Countries Denominator 18 countries
Nigeria $29,110,319
Zambia $16,927,693
Zimbabwe $2,354,352
Country Total Angola $15,911,560
Mali
Rwanda $9,225,532
Uganda $40,740,876
These funding figures represent the budget information that was accessible by GHSC-PSM staff. An absence of a figure in a particular cell, does not definitively imply that this funding does not exist, rather it was not available during the data collection period.
Annex P‐a. Country Indicators Page 29
PMI FY2019 Annual Report Annex
Countries Firs
t-lin
e A
CT
s (A
L 6X
1)
Firs
t-lin
e A
CT
s (A
L 6X
2)
Firs
t-lin
e A
CT
s (A
L 6X
3)
Firs
t-lin
e A
CT
s (A
L 6X
4)
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx3)
Firs
t-lin
e A
CT
s (A
S/A
Q
100/
270m
gx6)
Firs
t-lin
e A
CT
s (A
S/A
Q 2
5/67
.5m
g)
Firs
t-lin
e A
CT
s (A
S/A
Q 5
0/13
5mg)
Rap
id D
iagn
ostic
T
ests
for
Mal
aria
Sul
phad
oxin
e-py
rimet
ham
ine
(SP
)
LLIN
s
Burkina Faso 23% 32% (-)73% (-)48% 24% (-)9% (-)36%Burundi (-)17% (-)112% (-)58% (-)35% (-)3% (-)28% 8%Ethiopia 40% 48% 50% 36% 46% (-)1%Ghana 23% 15% 32% (-)21% 34% 72% (-)2% (-)155% (-)73% (-)26%Guinea 17% 7% (-)2% (-)6% 7% (-)4%Kenya (-)35% (-)34%Liberia 91% 92% 80% 91% 56% 36% 23% (-)63% (-)81% 86% 8%Malawi (-)38% (-)10% (-)5% (-)15% 4% (-)16% (-)5%Mali 4% (-)7% (-)47% (-)19% (-)15% 14% 11%Mozambique (-)18% 3% (-)27% (-)15% (-)11% (-)4% (-)27%Niger 7% 7% 27% 47% (-)182% 20% 8%Nigeria (-)6% (-)4% 2% (-)2% (-)81% (-)98% (-)21% (-)80% 2% (-)101%Rwanda 10% (-)22% (-)21% (-)19% (-)42%Uganda (-)88% 3% 5% 2% 6% 0% -794%Zambia 10% 31% 50% 28% (-)69% (-)2092%Zimbabwe (-)13% (-)18% (-)26% 24% (-)25% (-)14%
Annex P-b. Country Supply Chain Indicators (cont.)
B12. Mean absolute percent consumption forecast error, with forecast bias variantMean abosolute percent error (MAPE): Numerator: Absolute value of the difference between the actual quantities of products consumed at SDPs during the annual period minus the forecasted consumption for the annual period Denominator: Sum of the actual quantities of products consumed during the annual period
Annex P‐b. County Indicators Page 30
PMI FY2019 Annual Report Annex
Technically Independent
Targeted for Independence
Technically Independent
Targeted for Independence
Total Activities Technically Independent
Total Activities Targeted
Percentage of activities considered
technically independent
Angola 0 1 0 2 0 3 0%Burkina Faso 7 11 7 11 64%
Burma 0 11 0 3 0 14 0%Burundi 0 4 1 3 1 7 14%Cambodia 0 7 0 7 0%Cameroon 0 12 0 12 0%Ethiopia 0 7 0 7 0%Ghana 0 13 0 13 0%Guinea 0 11 0 3 0 14 0%Kenya 0 10 0 10 0%Liberia 0 11 0 11 0%Malawi 0 6 0 6 0%Mali 2 9 0 1 2 10 20%
Mozambique 0 4 0 4 0%Niger 1 7 1 7 14%
Rwanda 0 4 0 4 0%Sierra Leone 0 30 0 30 0%
Zambia 0 5 0 5 0%Zimbabwe 7 12 7 12 58%Grand Total 9 127 9 60 18 187 10%
Annex Q. Technical Independence
B8. Percentage of targeted supply chain activities in which the host country entity has achieved technical independence with GHSC-PSM technical assistance
Supply chain activities displayed below are only for countries that receive Task Order 2 funding for technical assistance. Targeted activities have been selected and agreed to by each GHSC-PSM field office and USAID mission from a standard list of 29 core supply chain actvities. Give the current country context and anticipated project resources in the coming years, targeted activities are expected to be technically independent by the end of the project in 2023.
Country
Cross Cutting Activities in TO2 funded countries
TO2 specific Activities in TO2 funded countries
All Activities Combined for TO2 funded countries
Annex Q. Technical Independence Page 31
USAID GLOBAL HEALTH SUPPLY CHAIN PROGRAM PROCUREMENT AND SUPPLY MANAGEMENT
GHSC-PSM TASK ORDER 2 (MALARIA)
ANNUAL REPORT FISCAL YEAR 2019
INTERNAL ANNEX
1
Name Trip Dates SOW TO1 TO2 TO3 TO4
Dércio Agostinho Duvane 9/2/2018-11/6/2018
The purpose of this trip is to kickoff activities under the initial six-month sub-task order with
VillageReach for OpenLMIS implementation. In particular, during this trip Mr. Duvane will:
Gather and define requirements (functional and non-functional); Gather data, documentation,
and information related to standard operating procedures (SOPs), forms, eHealth architecture,
and GS1; Conduct interviews with stakeholders and key informants regarding SOPs, eHealth
architecture, and GS1; Conduct site visits and assessment; Provide technical assistance for
stakeholder engagement.
13.90% 76.25% 9.85% 0%
EunMI Kim 10/13/2018-11/12/2018
The purpose of this consultancy will be to review and map the current process for registration
of local and international pharmaceutical suppliers and distributors as well as current process
of medicines and medical equipment in Angola and create an inter-ministerial standard
operation procedure. Ms. Kim will also work on analyzing requirements for the DNME to
digitalize the process and collect data for the database, so it may be maintained by the
Ministry of Health (MOH). During her time in Angola, Ms. Kim will also coordinate meetings
with the Technical Director, Distribution and Tracking Expert, and the DNME.
12.20% 71.05% 16.75% 0%
Christine Lenihan & Ryan Freeland 10/15/2018-11/2/2018
The purpose of this trip is to provide the essential training and knowledge transfer support to
the Angolan Ministry of Health (MoH), with the objective to improve the stakeholder’s
understanding of the OpenLMIS system, refine the requirements gathered for subsequent
configuration, and improve readiness for a full, national roll-out.
12.20% 71.05% 16.75% 0%
Ryan Freeland & Dércio Duvane 01/08/2019 to 01/25/2019
The purpose of this trip is to complete the final activities for the initial six-month sub-task order
with VillageReach for OpenLMIS implementation. In particular, during this trip, Mr. Duvane
and Mr. Freeland will:
Validate and finalize present OpenLMIS functional and non-functional requirements; Validate,
finalize, and present OpenLMIS interface requirements for DHIS2, warehouse management
system (WMS), and reporting; Conduct implementation and roll-out workshop for pilot and
production deployments; Present implementation guide, implementation roadmap, and M&E
plan; Provide technical assistance on stakeholder engagement
11.82% 74.39% 13.79% 0.0%
Dercio Duvane 3/23/2019 - 4/17/2019Mr. Dercio Duvane will support GHSC-PSM Angola in preparing for the implementation of
OpenLMIS in Angola. 12% 74% 14% 0%
Dercio Duvane 4/21/2019 - 11/17/2019The purpose of this trip is to support GHSC-PSM in preparing and execution of national
implementation of OpenLMIS in Angola. 10% 73% 17% 0%
Dercio Duvane 5/4/2019 - 5/22/2019To support GHSC-PSM in preparing for OpenLMIS Release 2 and to conduct training
activities to train trainers in Angola. 12% 74% 14% 0%
Rebecca Turner 7/6/2019-7/14/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
10% 73% 17% 0%
Daniel Lim 8/19/2019 - 8/31/2019Mr. Lim will travel to Angola to provide operational support to the GHSC-PSM in Angola field
office. 10% 73% 17% 0%
Ben Leibert 8/21/2019 - 9/15/2019The purpose of this trip is to support GHSC-PSM in the implementation of a localized
OpenLMIS implementation on hardware provided by the MoH. 10% 73% 17% 0%
Karolina Sowulewska 8/26/2019 - 9/2/2019Ms. Sowulewskawill travel to Angola to assess the security environment of the GHSC-PSM
Angola project, residential security, and regional operations in Angola.10% 73% 17% 0%
ANNEX A. TO2 SHORT-TERM TECHNICAL ASSISTANCE TO PMI-SUPPORTED COUNTRIES
Angola
2
Barry Chovitz 9/2/2019 - 9/14/2019
Mr. Chovitz will conduct a strategic visit related to forecasting and supply planning (FASP) for
malaria commodities and implementation of the OpenLMIS. Additionally, he will complete a
review of progress made at the end of FY19 and to inform FY20 work plan in addition to
onboarding two new Technical Directors.
10% 73% 17% 0%
Abdulganiyu Femi Sumaila 9/7/2019 - 9/28/2019
Dr. Sumaila will work with Angola’s National School of Public Health (Escola Nacional de
Saúde Publica – ENSP) in order to develop a training module and deliver it to a new post
graduate specialization in public health supply chain management targeted towards Ministry of
Health (MoH) logistics professionals.
10% 73% 17% 0%
Kaitlyn Roche 9/20/2019 - 9/27/2019
Following the GS1 conference in Nigeria, Kaitlyn Roche will travel to Angola to educate and
create awareness of GS1 standards by co-leading a GS1 vision workshop for key stakeholders
that results in a high-level GS1 road map for Angola.
10% 73% 17% 0%
Silverio Paixao 9/21/2019 - 9/27/2019
Following the GS1 conference in Nigeria, Silverio Paixao will travel to Angola to educate and
create awareness of GS1 standards by co-leading a GS1 vision workshop for key stakeholders
that are crucial to GS1 (Track and Trace) in Angola.
10% 73% 17% 0%
Pierre de Vasson 9/30/18-10/05/18
Mr. De Vasson will conduct the logistics and warehousing training needs assessment to
determine the content of the training. During the six-day short-term technical assistance, he
will work with managers of the regional agencies to identify the areas of focus for the logistics
and warehousing training to build staff capacity. Mr. De Vasson will work 13 days remotely
prior to and following the STTA to prepare the training curriculum focused on CAMEG
managers’ needs.
0% 100% 0% 0%
Pierre de Vasson 11/25/18-12/07/18
The purpose of this second trip is for Mr. De Vasson to adjust the logistics training curriculum
to CAMEG’s needs and conduct the training for 15 CAMEG central and regional agencies as
well as NMCP staff on health commodity logistics and warehouse management during an 11-
day short-term technical assistance to support the implementation and debriefing of this
activity.
0% 100% 0% 0%
Florence Beraud 1/12/2019-1/25/2019
GHSC-PSM in collaboration with pharmacy department of the ministry of health is supporting
the public health school to integrate the training course on an integrated LMIS standard
operation procedures (SOPs) into the pre-services training school curriculum. In June 2017, a
Learning Specialist, consultant Florence Beraud, assisted GHSC-PSM in conducting an
assessment on the possibility of integrating the logistics-training course into the pre-services
training school curriculum. Findings and recommendations from the assessment indicated
that the opportunity exists.
The purpose of this STTA is to train a pool of trainers to teach the integrated LMIS module for
the following programs: Pharmacist assistants & logisticians; Nurses & midwives; Nurse aids
0% 100% 0% 0%
Philippe Delamare 4/6/2019 - 4/19/2019
Mr. Delamare will travel to Ouagadougou, Burkina Faso to complete an assessment of
CAMEG’s procedures and documents for warehousing and supply chain against ISO
9001:2015. The resulting gap analysis will provide a clear road map towards ISO certification.
0% 100% 0% 0%
Philippe Delamare 6/24/2019 - 7/7/2019
Mr. Delamare will travel to Ouagadougou, Burkina Faso to assess and strengthen the
implementation of the ‘adressage’ roadmap or reconfiguration of CAMEG warehouses at the
central level and support CAMEG in starting to implement ‘adressage’ in regional warehouses
0% 100% 0% 0%
Parfait Nyuito Edah 7/7/2019 - 7/14/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
0% 100% 0% 0%
Alix Harou 7/15/2019 - 7/28/2019
Ms. Harou will travel to Ouagadougou to support GHSC-PSM Country Director and staff,
monitor progress of FY19 TO2 Malaria and GHSA activities, and prepare the field office for
FY20 work planning.
0% 100% 0% 0%
Burkina Faso
3
Amina Kandil 7/24/2019 - 7/27/2019
The purpose of this trip is to conduct the GHSA kickoff meeting and launch the GHSA activity
in Burkina Faso by introducing the Emergency Supply Chain Framework and Playbook to
Core Team members and providing necessary coaching.
0% 100% 0% 0%
Nicolas Pacoret de Saint Bon, and
Samir Drissi7/29/2019 - 8/19/2019
The purpose of this trip is to conduct the GHSA kickoff meeting and launch the GHSA activity
in Burkina Faso by introducing the Emergency Supply Chain Framework and Playbook to
Core Team members and providing necessary coaching.
0% 100% 0% 0%
Nicolas Pacoret de Saint Bon, and
Samir Drissi9/17/2019-9/27/2019
The purpose of this activity is to provide strategic support
during the simulation exercises developed to test the emergency supply chain
framework designed for Burkina Faso and lead the subsequent conclusion workshop and
debrief with local stakeholders to close out the Global Health Security Agenda (GHSA) activity
in Burkina Faso.
0% 100% 0% 0%
Amina Kandil 9/24/2019-9/27/2019
The purpose of this activity is to provide strategic support
during the simulation exercises developed to test the emergency supply chain
framework designed for Burkina Faso and lead the subsequent conclusion workshop and
debrief with local stakeholders to close out the Global Health Security Agenda (GHSA) activity
in Burkina Faso.
0% 100% 0% 0%
Anwar, Mehmood
10/6/2018-10/14/2018
GHSC-PSM Burma Country Mehmood Anwar will travel to Washington, DC to attend an
orientation at Chemonics’ Crystal City GHSC-PSM headquarters. He will receive a detailed
briefing on Chemonics’ core values and ethics, contract and procurement tools,
financial requirements, business systems, and performance expectations.
20% -
Mission
HIV/AIDS;
50% -
Mission
TB
30% 0% 0%
Michael Wolf 11/1/2018-11/16/2018
The purpose of this assignment is to recruit and begin the hiring process for 5 competent
technical staff members, two procurement and supply officers, a procurement and supply
manager, a service delivery officer, and a procurement and logistics manager.
20% -
Mission
HIV/AIDS;
50% -
Mission TB
30% 0% 0%
Ostrega, Arthur
12/1/2018-12/15/2018
In FY19, PSM/Burma will establish an M&E plan that is properly linked to the project’s global
plan but also measures the results of the project’s country specific efforts. Mr. Ostrega will be
responsible for drafting the plan in consultation with the mission and project staff. He will also
be tasked with putting in place the required systems and ensuring that GHSC-PSM’s field
office staff have the necessary tools to collect, aggregate, and analyze the data required to
measure results. In addition, with the new requirements from PEPFAR for data reporting on
stock-out of HIV/AIDS commodities, Mr. Ostrega will assess the feasibility of monthly reporting
from SDP level for HIV/AIDS commodities. And finally, Mr Ostrega will provide technical
assistance to the MIS team in two areas: 1.) efforts to increase the use of LMIS data for supply
chain related decision making at the township and regional levels and 2.) development of a
substantial evidence base to support a transition of MIS technical assistance to local
counterparts in three regions.
68% 32% 0% 0%
Thwe Thein, Yin Thwe
12/08/2018-12/15/2018
Ms. Thein, the Burma project Finance and Operations Director will travel to the PSM Home
Office in Crystal City. These trainings will enable Ms. Thein to effectively execute her duties as
the Finance and Operations Director for GHSC-PSM Burma. She will also receive trainings
that will focus on finance management and budgeting, contractual requirements and
Chemonics’ policies, ensuring that the GHSC-PSM office is operating within compliance or
USAID rules and regulations.
20% – HIV
Mission
50% – TB
Mission
30% 0% 0%
Pierre de Vasson
01/14/2019-01/25/2019
Mr. Vasson will travel to Rangoon, Burma to support the activities for revising Burma’s
National Supply Chain Strategy developed in September of 2015. To complement this, a fully
costed supply chain operation plan will be developed to demonstrate a clear vision and path
forward for the supply chain in Burma.
68% 32% 0% 0%
Burma
4
Ian Ryden
02/28/2019-03/16/2019
In accordance with discussions and planning conducted with the Burma Mission, Ian Ryden
will assess the National Aids Program (NAP), National TB Program (NTP) and the National
Malaria Control Program (NMCP) warehouses in States/Regions, develop recommendations
for optimization of warehouse space and operations and support the PSM team to select high
impact interventions to support during FY19.
68% 32% 0% 0%
Pierre de Vasson
03/10/2019-03/22/2019
The purpose of this STTA is to follow up on the initial scoping trip performed in January. This
trip will consist of engaging stakeholders in face-to-face discussions and the hosting of several
workshops to in order to fully develop the 2019-2021 Operational Plan of the Myanmar
National Supply Chain Strategy 2015-2020.
68% 32% 0% 0%
Pierre de Vasson 4/17/2019 - 5/4/2019
Mr. de Vasson will travel to Burma to continue work being conducted to for the development of
a national supply chain operational plan for the Ministry of Health and Sport of Myanmar. The
goal, for this STTA, is to engage stakeholders in face-to-face discussions and hold several
workshops to develop the finalized 2019-2021 operation plan of the strategic plan.
68% 32% 0% 0%
Thuy Huong Ha 4/20/2019 - 5/11/2019
Thuy Huong Ha, Managing Director of the GHSC-PSM project in Burma will travel to Burma to
attend high-level meetings and workshops with stakeholders and partners within the Ministry
of Health and Sports of Myanmar. In addition, Ms. Ha will conduct visits with the USAID
Mission and pertinent GHSC-PSM counterparts on the progress and support provided by the
project in Burma during the last quarter and in preparation for FY20 work planning.
68% 32% 0% 0%
Pierre de Vasson 5/19/2019 - 6/1/2019
Mr. de Vasson completed 3 STTAs in Myanmar in 2019 to initiate the development of the
operational plan of the 2015 strategic plan for the MoHS of Myanmar. During the third STTA,
the scenarios were confirmed, and the first draft of the operational plan was developed in a
workshop. This fourth STTA will finalize and confirm the data and information of this draft,
engage donors, finalize the plan and reach an overall endorsement from the MoHS.
68% 32% 0% 0%
Mehmood Anwar 6/29/2019 - 7/14/2019
Mr. Anwar will travel to Crystal City, VA to participate in the second bi-annual Country
Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
Mr. Anwar will travel to the US before the CD meeting to participate in technical, operational,
and strategic sessions including meetings with the Managing Director, GHSC-PSM
leadership, and the Burma PMU working closely with the members to develop a draft Gantt
chart, narrative and budget for the FY20 fiscal year.
70% 30% 0% 0%
Sopheak Sok; Daravuth Yang; Nihm
Sothearith 11/12/18-11/16/18
Mr. Nhim Sothearith and Dr. Daravuth Yang from the Department of Drug and Food of
Cambodia will travel to Rangoon to participate in an e-LMIS Exposure Visit . Prior to rolling out
mSupply in Cambodia, this exposure visit to Burma would provide an opportunity to see the
use of mSupply based e-LMIS in practice and to learn from Burmese counterparts who are
involved in implementing and using this state of the art system.
Mr. Sopheak Sok from GHSC-PSM Cambodia will travel to Rangoon to participate in an e-
LMIS Exposure Visit . Prior to rolling out mSupply in Cambodia, this exposure visit to Burma
would provide an opportunity to see the use of mSupply based e-LMIS in practice and to learn
from Burmese counterparts who are involved in implementing and using this state of the art
system.
12.5%; -
311
Mission
12.5%;
312
Mission
75% 0% 0%
Thuy Huong Ha; Samuel Stevens 2/15/19-3/8/19; 3/1/19-3/29/19
Ms. Thuy Huong Ha will travel to Phnom Penh to provide interim managerial and technical
support as acting Country Director to the GHSC-PSM Cambodia field office.
Mr. Samuel Stevens will travel to Phnom Penh to provide interim managerial support as acting
Country Director to the GHSC-PSM Cambodia field office.
0% 100% 0% 0%
Cambodia
5
Mackenzie Chernushin 6/2/2019 - 6/15/2019
Mackenzie Chernushin will travel to Phnom Penh, Cambodia to provide robust procurement
and ARTMIS trainings, bolster the field office’s understanding of compliance and competition,
conduct desk audit of project records, and support the recruitment for the project’s Program
Advisor position. She will also support the elaboration of the initial draft of the project budget
for FY20.
0% 100% 0% 0%
Nathalie Albrow 6/8/2019 - 6/19/2019
Nathalie Albrow will travel to Phnom Penh, Cambodia to review technical project activities,
administer an overview orientation to the newly hired GHSC-PSM project leader, and lead a
strategy and design workshop for field office staff and key stakeholders in preparation for FY20
work planning.
0% 100% 0% 0%
Eric Okimoto 6/28/2019 - 7/12/2019Mr. Okimoto will travel to Phnom Penh, Cambodia to support GHSC-PSM in Cambodia
project field office and local partners in the implementation of the eLMIS or mSupply Pilot. 75% 25% 0% 0%
Catherine Dame 7/20/2019 - 8/3/2019
Catherine Dame will support the national forecast exercise for malaria commodities, review
national forecasting tools, conduct quantification training and an introduction of Quantimed
and PipeLine to national programs including HIV/AIDS and Malaria.
50% 50% 0% 0%
Jonathan Gatke 9/20/18-10/6/18
The ST Acting Operations Director will fill the short-term absence of the LT Operations
Director, who is taking annual leave during the month of September. As many activities are
planned to occur in September with the close of the fiscal year, the ST Acting Operations
Director will play a lead role in the implementation of comprehensive management policies and
procedures for the project, management of procurement and administrative staff members,
and providing oversight of all operational activities of the GHSC-PSM Cameroon project. This
will ensure that necessary support is occurring during several key initiatives and start to
operationalize the FY19 work plan to ensure a smooth transition.
10% 90% 0% 0%
Tache Philippe M. 10/26/18-11/4/18
GHSC-PSM in Cameroon was accepted for a poster presentation linked to its work in using
geotagging distributions of Sulfadoxine Pyrimethamine + Amodiaquine (SP+AQ) during the
annual Seasonal Malaria Chemoprevention campaign titled, “Large-scale implementation of
seasonal malaria chemoprevention in far north Cameroon: The use of geographic information
system tracking in supply chain management”. During this conference, Dr. Tache will
communicate the important initiatives being brought by GHSC-PSM in Cameroon through
USAID surrounding increased distribution visibility at low costs. Additionally, the transfer of
information in attending other presentations and networking events will allow the project to
bring new ideas to how it can implement activities focused on Malaria and the overall supply
chain in Cameroon to advance public health initiatives.
0% 100% 0% 0%
Marcos Santillan 12/2/18-2/13/18
The purpose of this scope of work is for Finance and Compliance Review Manager Marcos R.
Santillan to review financial and operational files and procedures to ensure compliance with
GHSC-PSM IDIQ contract requirements and Chemonics’ procedures and guidelines.
40% 60% 0% 0%
Patrick Gaparayi, Glenn Muffih 11/22/18-12/4/18
The purpose of this scope of work is to attend the GHSC Summit, which aims to bring
together people, products, and processes to maximize the impact of global health supply
chains. The participants will gather experience and lessons learned from recent global supply
chain best practices for adaptation, as applicable. Most importantly, the project was selected
to present on its participation in this year’s SMC campaign. The two GHSC-PSM Cameroon
staff members (TO1/TO2) and two MOH Staff (TO2) will present on the use of delivery tracking
systems to ensure efficiency and accountability in the implementation of SMC in the PMI-
supported regions of Cameroon.
40% 60% 0% 0%
Cameroon
6
Jean Pierre Kidwang, Armel Bombah 11/22/18-12/4/18
The purpose of this scope of work is to attend the GHSC Summit, which aims to bring
together people, products, and processes to maximize the impact of global health supply
chains. The participants will gather experience and lessons learned from recent global supply
chain best practices for adaptation, as applicable. Most importantly, the project was selected
to present on its participation in this year’s SMC campaign. The two GHSC-PSM Cameroon
staff members (TO1/TO2) and two MOH Staff (TO2) will present on the use of delivery tracking
systems to ensure efficiency and accountability in the implementation of SMC in the PMI-
supported regions of Cameroon.
0% 100% 0% 0%
Rolando A. Berrios 1/20/19-1/31/19
The objective of the STTA is to comprehensively map the workflow of all transportation
procedures, align the TransIT tool (transportation management system information tool), and
the electronic Proof of Delivery (ePOD) application for distribution managers and other
potential tool users within the GHSC-PSM project in Cameroon with a focus in the two
Presidents Malaria Initiative (PMI) supported regions of North and Far North where the project
is involved in last-mile distribution of all antimalarial commodities, rapid diagnostics test kits
and Long Lasting Insecticide-treated Nets (LLINs). This initial work will inform the project and
government counterparts to extend the application of the tool at central and regional level and
will recommend an operational plan to be used during the forthcoming LLIN mass distribution
campaign and next year’s last mile distribution of the pharmaceutical commodities used in the
Seasonal Malaria Chemoprevention (SMC) campaign.
0% 100% 0% 0%
Lynde Kuipers 5/19/2019 - 5/26/2019
Lynde Kuipers will travel to Yaoundé to provide leadership support for the review and planning
of FY19 activity implementation, lay the groundwork for FY20 work plan and budget
development, and work to identify means to improve operational and financial project activities.
40% 60% 0% 0%
Hany Abdullah 5/19/2019 - 5/31/2019
Ms. Abdullah will assess the current state of eLMIS in Cameroon’s public health sector. This
will be achieved by conducting in-country consultations with relevant public health supply
chain stakeholders to better understand the strengths and weaknesses of each of the existing
information systems in the supply chain, completing a landscape analysis report of the
existing landscape, and developing a roadmap for eLMIS in the public health supply chain
and landscape requirements report based on the consultations and workshops, as well as a
review of documentation that has been developed by GHSC-PSM.
40% 60% 0% 0%
Patrick Gaparayi 7/6/2019 - 7/13/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
40% 60% 0% 0%
Hany Abdallah 7/12/2019 - 7/20/2019
The objective is to facilitate a multi-stakeholder landscape requirements workshop in which the
Ms. Abdallah shall present preliminary findings from the in-country consultative meetings
conducted in May 2019 and utilize them in a participatory manner to build a consensus
around the key features to dictate the national integrated eLMIS strategic plan.
40% 60% 0% 0%
Michael I. Egharevba, 7/29/2019 - 8/10/2019
Mr. Egharevba will travel to Yaoundé, Cameroon to implement a human resources supply
chain assessment and develop a roadmap that identifies key activities, stakeholders and
timelines required to implement the human resource strategy.
42% 58% 0% 0%
Jonathan Gatke 9/18/2019 - 10/9/2019
Mr. Gatke will travel to Maroua, Cameroon to provide operational and technical support to the
Mass Distribution of LLINs in the Far North Region of Cameroon. Mr. Gatke will put in place
mitigation measures to ensure last-mile distribution from health areas to distribution sites.
0% 100% 0% 0%
7
Vanina Olive Bowombe Ngalley;
Xavier Lancelot Tetang Fouelefack;
Tabi Nkeng
9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
40% 60% 0% 0%
Tessa Jean-Pierre 9/23/2019 - 10/18/2019
Ms. Jean-Pierre will travel to Yaoundé, Cameroon to provide program management and
operational support to the field office during a period of transition after the Country Director’s
resignation from the project. Ms. Jean-Pierre will also travel to Douala, Cameroon to provide
leadership support to the field office close-out activities. During that time, she will ensure all
contractual agreements are terminated, office equipment transferred, and completion of
handover documents to relevant stakeholders.
40% 60% 0% 0%
Susan Bell 10/14/18-10/16/18
Susan Bell will travel to Cote d’Ivoire to evaluate GHSCO operations in Cote d’Ivoire and make
recommendations to ensure quality assurance and contract compliance with the transition of
La Nouvelle pharmacie de la Santé publique (NPSP) involvement in the clearance and
delivery of GHSC-PSM procurements.
50% 50% 0% 0%
Emily Adams 6/17/2019 - 6/28/2019
The purpose of this scope of work is to improve the overall collaboration and efficiency of
GHSC-PSM procurement and delivery of commodities to DRC. Ms. Adams will work with the
GHSC-TA customs clearance facilitation coordinators and lead coordination meetings between
key stakeholders including the GHSC-TA DRC field office, USAID DRC Mission, freight
forwarders, and local clearing agents.
40% 42% 8% 10%
Daniel Taddesse Teklemichael 7/6/2019 - 7/13/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
31% 10% 42% 17%
Stefania Slabyj 8/11/2019 - 8/18/2019Ms. Slabyj will visit the Ethiopia field office to support the development of the FY20 work plan
and to provide technical support, in line with USAID priorities for work plan implementation. 27% 10% 45% 18%
Arthur Ostrega 3/31/2019 - 4/6/2019
Arthur Ostrega will travel to Accra, Ghana to engage in detailed planning and preparations for
the upcoming implementations of the National Supply Chain Assessment toolkit in Ghana,
and to build stakeholder engagement and ensure broad buy-in across the supply chain
environment in-country.
33% 34% 30% 3%
Joseph Obi 6/23/2019 - 7/19/2019Joseph Obi will travel to Accra, Ghana to participate in the handover of project finance and
office operations from the outgoing Finance and Operations Director, Markos Layton. 33% 33% 30% 4%
Deogratius Kimera 7/6/2019 - 7/13/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
33% 34% 30% 3%
Cote d'Ivoire
DRC
Ethiopia
Ghana
8
Kevin Gandhi; Steve Thomas 7/14/2019 - 7/20/2019
Mr. Gandhi will travel to Ghana to install a cloud-based temperature and humidity monitoring
system in Ghana’s Eastern and Brong-Ahafo regional warehouses. These sensors will allow
the field office, the Ghana Health Services (GHS), and any other stakeholders to continually
monitor the temperature of these locations remotely.
Mr. Thomas will travel to Ghana to shadow, receive training, and provide additional support for
the installation of a cloud-based temperature and humidity monitoring system in Ghana’s
Eastern and Brong-Ahafo regional warehouses.
33% 34% 30% 3%
Kate Gulitashvili 7/28/2019 - 8/12/2019
Ms. Gulitashvili will conduct a strategic leadership visit to Ghana to review workplan
implementation progress to date, facilitate FY20 workplan process, and provide operations
and finance support during a transition period,
33% 33% 30% 4%
Arthur Ostrega 8/7/2019 - 8/24/2019
Arthur Ostrega will travel to Accra, Ghana to oversee the implementation of the NSCA being
conducted by GHSC-PSM in Ghana. Mr. Ostrega will engage in stakeholder interviews, the
NSCA Mapping Workshop and enumerator trainings. As the primary focal point for the NSCA
activity, Mr. Ostrega will ensure the successful implementation of the data collection in-
country.
33% 34% 30% 3%
Daniel Owusu-Afranie;
Mathias Agbenyo Kwami
9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
33% 34% 30% 3%
Arthur Ostrega 3/24/19-3/30/19
The primary purpose of this scope of work is to engage with stakeholders on the NSCA
planning process and finalize implementation plans and details, namely:
1) Develop a detailed implementation plan for the NSCA, including:
- Finalized list of facilities to visit
- Finalized list of tracer products, agreed upon by all stakeholders
- Finalized list of optional KPIs, by supply chain level, to suit customized requirements
- Finalized timetable for data collection
2) Initiate development of detailed logistics plan for the NSCA (to be finalized in-country before
the assessment), including:
- SOW for data collectors to facilitate recruitment
- Plans for supply mapping workshop and data enumerator trainings
- Plans for hotels, transport, and staffing for assessment period
The trip will also include meetings with various MoH departments and organizations.
0% 5% 37% 58%
Ishan Singhal 4/27/2019 - 5/11/2019
Mr. Singhal will travel to Guinea to install a cloud-based temperature and humidity monitoring
system in Guinea’s Conakry, Boké, and Labé warehouses. Two trucks will also be installed
with sensors to allow the field office, the Central Pharmacy of Guinea (PCG), and any other
stakeholders to continually monitor the temperature of these locations remotely for the
pharmaceuticals stored in the cold rooms and refrigerators.
0% 10% 40% 50%
Isadora Vigier de la Tour 6/5/2019 - 6/25/2019
Isadora Vigier de la Tourwill travel to Conakry, Guineato oversee the logistics of the
NSCAbeing conducted by GHSC-PSM in Guinea. Ms. Vigier de la Tourwill assist in facilitating
and organizing stakeholder interviews, monitoring data collection by the local enumerators,
and coordinating the NSCA Mapping Workshop and enumerator training.
0% 5% 37% 58%
Laura Bosco 6/5/2019 - 6/28/2019
Laura Boscowill travel to Conakry, Guinea to oversee the survey portion of the National Supply
Chain Assessment(NSCA)being conducted by GHSC-PSM in Guinea.Ms. Bosco will ensure
the survey tool is functioning correctly and being implemented accurately by the enumerators
in country and will assist with the analysis of the results and their disseminationfollowing the
activity.
0% 5% 37% 58%
Guinea
9
Arthur Ostrega 6/7/2019 - 6/22/2019
Arthur Ostregawill travel to Conakry, Guinea to oversee the implementation of the NSCA being
conducted in Guinea.Mr. Ostrega will engage in stakeholder interviews, the NSCA Mapping
Workshopand enumerator trainings. As the primary focal point for the NSCA activity, Mr.
Ostrega will ensure the successful implementation of the data collection in-country.
0% 5% 37% 58%
Claude Bahati 7/6/2019 - 7/13/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
0% 5% 37% 58%
Gerard Bisama 7/8/2019 - 7/19/2019
Mr. Bisama will travel to Conakry, Guinea to assist GHSC-PSM Guinea in developing an
interoperability system between DHIS-2 and e-SIGL Guinée. Mr. Bisama will additionally
provide documentation and training to Ministry of Health staff to ensure the system’s
successful implementation.
0% 5% 45% 50%
Meriem Samaali 7/13/2019 - 7/20/2019
Finance and Compliance Review Manager Meriem Samaali will travel to Conakry, Guinea to
review financial and operational files and procedures to ensure compliance with GHSC-PSM
IDIQ contract and Task Order requirements, U.S. government rules and regulations, and
Chemonics’s procedures and policies.
0% 5% 38% 57%
John Durgavich 7/13/2019 - 7/29/2019
John Durgavich will travel to Conakry, Guinea to build the capacity of the central-level FASP
staff to conduct annual forecast reviews and supply plans using Quantimed and Pipeline tools.
In addition, this activity will help DNPM and DNSFN to quantify for FP/RH products, determine
funding needs and finally mobilize resources needed to procure the quantified products over
the 2019-2021 period.
0% 18% 68% 15%
Andrew Inglis 7/15/2019 - 7/26/2019
Mr. Inglis will travel to Guinea to provide technical assistance in improving the eLMIS with data
visualization elements in order to initiate the popularization of the use of data at each level of
the health pyramidal. Mr. Inglis will present a preliminary dashboard to key stakeholders in
small focus-group discussions to identify the needs of decision makers and hold stakeholder
meetings with in-country counterparts to develop an implementation and sustainability plan for
using data in decision-making for the supply chain in Guinea.
0% 5% 41% 54%
Megan Burke 8/17/2019 - 8/31/2019
Ms. Megan Burke will travel to Conakry, Guinea to follow up on recent internal financial
compliance review findings and to provide refresher operations and financial trainings to field
office staff. She will also provide operations surge support in the absence of the Finance &
Operations Director and assist with finalizing FY20 Work Plan budget .
0% 5% 38% 57%
Gerard Bisama 9/1/2019 - 9/14/2019
Mr. Bisama will travel to Conakry, Guinea to assist GHSC-PSM in Guinea in developing a
District Health Information Software (DHIS2) interoperability framework for the Ministry of
Health. In addition to developing the framework, Mr. Bisama will hold meetings with key
stakeholders and document gaps in the existing systems.
0% 5% 45% 50%
Claude Bahati; Serge P. N'Guessan;
Moussa Konate; 9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
0% 4% 36% 60%
Dorothy Leab 9/16/2019 - 9/27/2019
Dorothy Leab will oversee GHSC-PSM work in Guinea for human resource capacity
development of the supply chain management workforce. She will collaborate with in-country
staff to train approximately 10 university teachers using curriculum and training materials
developed through remote work. She will hold a debrief with GHSC-PSM Country Director and
USAID/Guinea.
0% 5% 35% 60%
India
10
Stephanie Wohler, Swaroop
Jayaprakash, and Linda Wennick 11/28/2018 to 12/07/2018
Ms. Stephanie Wohler, Ms. Linda Wennick and Mr. Swaroop Jayaprakash traveled to
Bangalore-India to ensure transition and knowledge transfer are properly completed. The
purpose of the trip was to:
1. Meet the team and provide a more detailed overview of the program, its goals, and
implementation methodologies to improve the team’s depth of understanding
2. Ensure transition is fully completed and knowledge is transferred to the newly appointed
team members
3. Organize multiple capacity building sessions allowing team members to discuss questions
and get an insight on the implementation methodologies
4. Provide a business orientation on the use of such systems as COGNOS, EMPTORIS,
WCS, and other integrations through an interactive and practice-based session
5. Confirm project communication approach to ensure that tickets, defects, and minor
enhancements are being worked effectively given new time-zone
6. Identify areas of improvement and pinpoint technical gaps so that solutions can be
developed to address them
57% 31% 10% 2%
Zane Keller 3/24/19-3/30/19
Mr. Zane Keller will travel to Bangalore to oversee GHSC-PSM work in India as part of the
continual improvement of the IBM India MIS Operations and Maintenance team. Mr. Zane
Keller will work with the team with improvement requirements gathering and help facilitate an
update release for the ARTMIS system.
57% 31% 10% 2%
Philip Kwao 11/13/18–12/5/18
Mr. Kwao will travel to Monrovia, Liberia to support training, data collection, and analysis for
the application of the revised End Use Verification (EUV) survey tool, software, and protocols.
This STTA is needed because the GHSC-PSM project has never conducted a EUV activity in
Liberia.
0% 100% 0% 0%
Grace Adeya 3/22/19-4/7/2019
At the request of the PMI Liberia team, Grace Adeya will conduct a strategic leadership visit to
Liberia to review implementation progress to date of TO2 priority activities and identify areas
for refinement. She will also provide overall strategic guidance for TO2 strategy for future
initiatives in alignment with GHSC-PSM objectives and USAID Mission priorities.
0% 100% 0% 0%
Addis Demissie Gebretsadik 3/28/2019 - 4/12/2019
Mr. Gebrestadik will travel to Liberia to assist with the national quantification of Essential
Medicines, revision of the Essential Medicines list, and review of all completed supply plans.
He will also provide additional training to Ministry of Health personnel on relevant software
tools.
25% 25% 0% 50%
Kiersten Rooke 3/30/2019 - 4/8/2019
Kiersten Rooke will travel to Liberia to strengthen GHSC-PSM’s capacity to conduct effective
monitoring and evaluation activities in Liberia. The M&E Specialist will work with the GHSC-
PSM’s Liberia M&E staff to review and finalize the fundamental tools of the M&E system,
including the project M&E plan encompassing all health areas, a dedicated M&E plan for
Global Health Ebola Team (GHET) activities, and data collection tools for both.
45% 10% 40% 5%
Zaher Moshtaq 4/8/2019 - 4/30/2019
The purpose of this assignment for Zaher Moshtaq is to assist field office in addressing
outstanding FCR recommendations, carry out an assessment of the GHSC-PSM project
accounting, finance, and operations existing practices, and provide mentorship to local team
leads to address the identified challenges and maintain project performance in compliance
with established procedures, rules, and regulations.
59% 19% 19% 4%
Leif-Erik Stabell 4/10/2019 - 6/25/2019
Mr. Stabell will travel to Monrovia, as a continuation and finalization of his previous trip, to
assess readiness and implement mSupply as a warehouse management system (WMS). Mr.
Stabell will train Ministry of Health (MoH) personnel on mSupply to ensure that the WMS can
be properly utilized for commodity stock management.
60% 35% 0% 5%
Russell Raymond 5/13/2019 - 5/30/2019
Mr. Russell Raymond will travel to Monrovia, Liberia to provide urgent operations coverage
during upcoming nationwide commodity distribution and leadership transition for the project in
absence of the project’s long-term Operations Director.
59% 19% 19% 4%
Daniel Rhodes 5/19/2019 - 6/7/2019Mr. Daniel Rhodes will travel to Monrovia to provide leadership coverage and serve as Acting
Country Director. 59% 19% 19% 4%
Liberia
11
Scott Perkofski 5/29/2019 - 6/29/2019
Mr. Perkofski will travel to Monrovia, Liberia to take over the Acting Operations Director role
from Mr. Russell Raymond and continue operations coverage during upcoming nationwide
distribution and leadership transition for the project in absence of the project’s long-term
Operations Director who is placed on paid Administrative Leave.
59% 19% 19% 4%
Kumba Wonday 6/8/2019 - 7/12/2019
The purpose of this assignment is for Ms. Wonday to provide financial management expertise
and support to field office staff during the current senior leadership transition and temporary
absence of previous supervisors ensuring seamless and resilient financial oversight of
program operations.
59% 19% 19% 4%
Innocent Ibegbunam 6/10/2019 - 7/5/2019
The purpose of this assignment is for Mr. Ibegbunam to serve as Senior Supply Chain
Technical Advisor and provide technical leadership to the project in the implementation of
program activities per the approved annual workplan. He will also lead round 12 distribution of
health commodities to counties and ensure project supply chain initiatives are implemented
effectively and in timely fashion.
59% 19% 19% 4%
Russell Fortier 6/16/2019 - 7/1/2019
Russell Fortier will travel to Monrovia to introduce Innocent Ibegbunam to USAID Mission in
Liberia, government counterparts, project stakeholders and handover project priorities as part
of Chemonics leadership transition plan. Mr. Fortier will stay for two weeks overlapping with
Mr. Ibegbunam’s STTA to ensure the proposed incoming Country Director is adequately
oriented on various aspects of project and technical implementation.
59% 19% 19% 4%
Paul Forbes 6/24/2019 - 9/30/2019
The purpose of this assignment is for Mr. Paul Forbes to provide guidance, recommendations
and best practices in effective warehouse management and oversight, freight forwarding
services, and forward planning to achieve maximum efficiencies and seamless operations and
facilitate on-job training and mentorship for the Central Medical Stores (CMS) Caldwell
warehouse.
16% 70% 11% 4%
Innocent Ibegbunam 7/5/2019 - 7/19/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
50% 30% 0% 20%
Daniel Somah 9/8/2019 - 9/13/2019
Mr. Daniel Somah will travel to Maputo, Mozambique to present his abstract, Mid-term review
of Liberia National Malaria Control Program (NMCP) Strategic Plan Social and Behavior
Change Communication (SBCC) activities, 2016-2020, at the Roll Back Malaria (RBM) -
Social and Behavior Change Communication (SBCC) Working Group Annual Meeting.
0% 100% 0% 0%
William I Hill 9/15/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
0% 61% 35% 5%
Patricia Quaye Freeman; Boakai
Boley9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
0% 61% 35% 5%
Madagascar
12
Leia D'Amboise 12/2/18-12/21/18
The purpose of this scope of work was to support the closure of the GHSC-PSM Madagascar
project office and plan for the financial and operational management of continued activities
after December 31, 2018.
0% 44% 21% 36%
Fanjanirina Randrianarivony 3/19/19-3/30/19
Dr. Randrianarivony will take part in various workshops aimed at the validation of the LLIN
distribution data, providing technical oversight of this process. She will present the results of
the LLIN distribution data validation to the National Malaria Control Program (NMCP) and the
USAID/PMI team in Madagascar.
0% 100% 0% 0%
Stewart Stremel 10/5/18-10/19/18
Mr. Stewart Stremel will travel to Lilongwe for the OpenLMIS and District Health Information
System 2 (DHIS2) Interoperability STTA, to conduct an assessment and provide technical
specifications and recommendations on next steps for interfacing OpenLMIS and DHIS2 in
Malawi.
11% 30% 46% 13%
Neville Mabvudza 10/16/2018-10/26/2018
Chemonics’ standard practice is to conduct periodic financial reviews for field projects. The
main objectives are to (a) carry out an assessment of the project’s accounting, finance, and
operations controls to provide reasonable assurance that the project is in compliance with
Chemonics’ policies, procedures, guidelines, and the client’s rules and regulations; (b)
validate the reliability and integrity of the project’s accounting, financial, and operating
information; (c) verify compliance with the contract’s special requirements; and (d) confirm that
the project has been taking steps to comply with all applicable local governmental laws and
regulations as per local counsel and/or CPA firm recommendations.
11% 30% 46% 13%
Elma Sakian 11/26/18-2/9/19
Ms. Sakian will travel to Lilongwe, Malawi to oversee GHSC-PSM operations in Malawi in the
absence of a long-term operations director given that Ms. Rohrs’ Operations Director
assignment is coming to an end. Ms. Sakian will provide operational coverage and assistance
while a long-term operations director candidate is identified and fielded. Ms. Sakian will focus
primarily on ensuring that office procurements, finance, human resources, and subcontracting
compliance continue uninterrupted and are ready for smooth handover to an incoming
operations director.
11% 30% 46% 13%
Andrew Brown 12/09/2018-12/22/2018
The purpose of this scope of work is to provide technical support for the development of a
competency framework for Supply Chain Management (SCM) staff in Malawi to ensure that
SCM staff have the required competencies to perform their roles. The specific objectives are
to:
Map the SCM competencies and roles of existing cadres that are involved in SCM at various
levels in the Malawi health sector; Conduct a rapid assessment to identify general gaps in
SCM competencies among the cadres involved in SCM in Malawi, and provide short and long-
term recommendations to address identified gaps with reference to existing capacity
development interventions
9% 26% 51% 14%
Michael Green 12/10/18-12/23/18
Michael Green will travel to Lilongwe to provide GHSC-PSM Malawi technical support in
improving the electrical components of the prefabricated storage units that were recently
installed and provide feedback and recommendations on additional interventions to strengthen
unit resilience against electrical damage.
60% 40% 0% 0%
Kaitlyn Roche 2/2/2019-2/9/2019
Ms. Roche will travel to Lilongwe for the Global Standards STTA, to focus on adoption and use
of GS1 standards and will collaborate with the Product Registry consultant to improve the
alignment between GS1 global standards as a foundation for successful implementation of a
national health product registry and support broader strategic supply chain priorities of data
quality, data visibility, and product traceability.
11% 30% 46% 13%
Noel Watson 02/25/2019-03/06/2019
The purpose of this scope of work is to assess the efficacy and cost efficiency of the current
Malawi public health sector inventory management and distribution system to ensure constant
availability of commodities across the central and facility levels, and to provide
recommendations to the Ministry of Health and donors for any adjustments for improvement.
12.25% 21.57% 57.03% 9.15%
Gerhard Schneigansz 6/15/2019 - 9/27/2019
Mr. Schneigansz, System Strengthening Director (SSD) Short-Term Technical Consultant, will
travel to Lilongwe to oversee all technical activities for GHSC-PSM work in Malawi. He will
ensure that there are no technical gaps in implementation in accordance to the fiscal year
2019 workplan while the recruitment of a new Long-Term SSD candidate is on-going.
12% 22% 57% 9%
Malawi
13
Irene Alenga 6/23/2019 - 6/28/2019
Irene Alenga will travel to Lilongwe to assist the GHSC-PSM project in Malawi in developing
communication materials for the project’s systems strengthening activities including the
prefabricated storage project in Malawi.
12% 22% 57% 9%
Phillip Kamutenga 7/6/2019 - 7/16/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
9% 26% 51% 14%
Shaun O’Neil 7/15/2019 - 8/8/2019
Shaun O’Neil will serve as Acting Country Director for GHSC-PSM in Malawi. He will be
responsible for providing leadership, strategic planning and management to project staff
including leading the development of FY20 work plan and budget, overseeing data collection
and reporting, and coordinating with stakeholders in capacity building.
12% 22% 57% 9%
Kaitlyn Roche 7/28/2019 - 8/1/2019
Kaitlyn Roche will travel to Lilongwe to support the national coordinating committee for
pharmaceutical traceability by facilitating a Malawi national pharmaceutical traceability
workshop to develop the collective vision, strategy and high-level roadmap for pharmaceutical
traceability in Malawi.
12% 22% 57% 9%
Russell Fortier 8/3/2019 - 9/30/2019
Russell Fortier will travel to Lilongwe, Malawi to serve as Acting Country Director for GHSC-
PSM in Malawi. He will be responsible for providing leadership, strategic planning and
management to project staff including leading the development of FY20 work plan and
budget, overseeing data collection and reporting, and coordinating with stakeholders in
capacity building.
12% 22% 57% 9%
Carlos Soto 8/13/2019 - 8/31/2019
Mr. Carlos Soto will travel to Lilongwe, Malawi to oversee GHSC-PSM operations and finances
in Malawi in the absence of the long-term Operations and Finance Director given that Ms.
Anne Flaherty will be on leave during this time. Mr. Soto will focus primarily on ensuring the
development of the project FY20 work plan budget is finalized, support the onboarding and
orientation of the acting Country Director at the time of travel, and provide oversight to office
procurements, finance, human resources, and subcontracting activities, including managing
operation, HR and finance staff.
12% 22% 57% 9%
Nuran Mallya 9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
12% 22% 57% 9%
Jean Bedel Evi 9/28/18-10/6/18
Mr. Bedel will travel to Washington to receive his country director orientation per GHSC-PSM
practice. In addition to meeting with various team members and partners, he will meet with the
USAID/W backstops.
40.66% 17.66% 41.66% 0%
Noel Sylver Mondjo 2/5/19-2/23/19
The purpose of this short-term assignment is to ensure the compliance of administrative and
financial components of Sub-Task Order 169 between Chemonics and PSI/Mali. This
assignment will support the production of timely and quality financial reports and invoices and
strengthen the team’s capacity in USAID’s policies and regulations. In addition, the Mr.
Mondjo will work with the newly hired PSI/Mali’s Country Representative to bring him up to
speed on the administrative and financial aspects of the project and ensure continued
implementation of best practices.
0% 100% 0% 0%
Mali
14
Imoite Omulepu 3/8/19-3/26/19
Mr. Omulepu will provide PMU support to the field office for ongoing operations, financial
reporting and analysis, contractual compliance, and implementation of FY19 work plan
activities. He will also support capacity building trainings on M&E for the upcoming EUV and
assist the procurement team in submitting and tracking orders into ARTMIS.
1% 40% 11% 48%
Mahmudul Islam 3/10/19-3/24/19
GHSC-PSM will engage the services of Mahmudul Islam from SoftWorks Ltd. to work closely
with GHSC-PSM Mali, DPM and Measure Evaluation team, Cellule de la Planification et de la
Statistique-Ministere de la Santé de l’hygiene publique(CPS) and other relevant entities to
incorporate the following activities in Bamako:
I. Update OSPSANTE existing functionalities and create new ones as requested by the DPM,
NMCP and National Directorate of Health (DNS)
II. Update DHIS2 LMIS entry forms and fix technical issues affecting data transfer from DHIS2
to OSPSANTE in close collaboration with Measure Evaluation and CPS, whom are both
leading implementation for DHIS2 in Mali
III. Build capacity of PSM, DPM and CPS on managing OSPSANTE backend and
interoperability between OPSANTE and DHIS2
IV. Update user-guide and technical guide
1% 40% 11% 48%
Jamie Ciesla 4/21/2019 - 4/27/2019The purpose of this short-term assignment is for Mr. Jamie Ciesla to provide programmatic
management support to the Mali PSI-PSM project. 0% 100% 0% 0%
Alain Nelissen 4/24/2019 - 4/29/2019
Mr. Nelissen will travel to Bamako to hand over the newly built Central prefabricated
warehouse. He will monitor the execution of the implementation plan, hold the monthly
steering committee meeting to update all stakeholders on the current status of the installation.
Other activities include coordinating the training of Pharmacie Populaire du Mali (PPM)
employees on the operation of materials handling equipment, fire suppression system, air
conditioning system, security system generator and dock levelers and on the outstanding
activities that the PPM contractor must complete, including offices, electrical installation and
the snag list.
0% 40% 0% 60%
Dr. Sanoussy Kone 4/26/2019 - 5/4/2019
Dr. Kone will travel to Dar Es Salam, Tanzania to conduct a research study tour of Tanzania’s
Logistics Management Unit (LMU) to acquire experience and practical knowledge on how to
establish an LMU in Mali.
1% 40% 11% 48%
Philippe Delamare 5/26/2019 - 6/14/2019
Mr. Delamare will travel to Bamako, Mali to assist the Pharmacie Populaire du Mali (PPM) in
managing the transition to the new central warehouse and provide support for the installation
of SAGE software, a warehouse management system (WMS).
0% 35% 12% 53%
Jean Bedel Evi 7/6/2019 - 7/13/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
1% 40% 11% 48%
Arianna Nagle 7/15/2019 - 7/19/2019
Ms. Nagle will travel to Bamako to conduct a review of GHSC-PSM FY19 work plan
implementation, attend a two-day stakeholders meeting with supply chain partners to review
FY19 progress, and attend the inaugural ceremony of the prefabricated warehouse.
2% 35% 10% 53%
Adam Aiche Doumbia 8/25/2019 - 8/31/2019
Ms. Doumbia will travel to the GHSC-PSM offices in Crystal City for a series of trainings that
will allow her to more effectively execute her duties as the Operations Manager for the GHSC-
PSM project office in Mali. These trainings will focus on contractual requirements and
Chemonics’ policies and procedures to ensure that the GHSC-PSM office in Mali is operating
in compliance of USAID rules and regulations.
1% 40% 11% 48%
Philippe Delamare 9/1/2019 - 9/14/2019
Mr. Delamare will travel to Bamako, Mali to provide support to Pharmacie Populaire du Mali
(PPM) as they transfer supplies to the new prefabricated warehouse, transition to the new
warehouse management system SAGE X3, and develop key performance indicators.
2% 35% 10% 53%
Benoît Healy 9/15/2019 - 9/21/2019Benoît Healy will travel to Bamako, Mali to conduct the annual Finance and Compliance
Review (FCR).1% 40% 11% 48%
15
Mr. Yacouba Diarra; Dr. Dramane
Kone; Dr. Seydou Tangara; Mr.
Amadou Kamate
9/21/2019 - 9/28/2019
The purpose of this trip is to Expose high-level decision-makers to best practices, including:
central warehousing; cross-docking distribution centers; sophisticated transport/distribution
strategies; and cutting-edge WMIS and eLMIS. As well as to inform and support decisions in
reforming supply chain systems in Mali.
1% 40% 11% 48%
Rolando A. Berrios and Ishan Singhal 10/13/2018 to 10/21/2018
The objective of this assignment is to customize the TransIT tool and ePOD application to
optimize fleet management in Mozambique’s health commodity supply chain. The tool
aggregates end-to-end data — from distribution planning through delivery to the recipient —
to track performance, location, and costs as commodities move through the in-country
distribution network. Through the supply of constant information, this tool will create an
“instant report card,” enabling distribution managers to better track shipments, make data-
driven decisions, optimize distribution resources and assets, and use historical data to show
trends over time.
35.88% 15.24% 28.08% 20.80%
Ahmad Rageh 11/2/18-11/17/18
Ahmad Rageh, the Chemonics Finance and Compliance Representative will travel to Maputo,
Mozambique to carry out an assessment of the project’s accounting, finance and operations
controls, as part of the standard annual review that Chemonics undertakes for every project to
ensure compliance with Chemonics and USAID regulations.
35.64% 22.76% 21.77% 19.83%
Ishan Singhal 3/29/2019 - 4/11/2019
Following the initial roll-out of the cloud based GHSC-PSM transportation tool, TransIT, and
the ePOD application in October, GHSC-PSM technical program manager, Ishan Singhal will
lead a TransIT training for GHSC-PSM Mozambique regional staff.
36% 15% 28% 21%
Leia D’amboise 4/16/2019 - 5/16/2019
Ms. D’Amboise will provide operational support to the Mozambique field office as project
resources are diverted to support emergency relief efforts in Beira due to cyclone Idai.
Additionally, given the recent departure of project operations manager, Ms. D’Amboise will
serve as Acting Operations Director while the current Operations Director takes annual leave
in May.
37% 23% 21% 19%
Jan de Jong 5/6/2019 - 6/13/2019
GHSC-PSM Consultant Jan de Jong will travel to Mozambique to continue providing support
to emergency warehousing and distribution activities in response to ongoing Cyclone Idai relief
efforts in Beira.
37% 23% 21% 19%
Jaya Chimnani 5/9/2019 - 5/26/2019
In support of USAID’s Journey to Self-Reliance, Ms. Chimnani will partner with a local
consultant to complete a landscape analysis of local implementing partners experienced in
technical areas of supply chain management and supporting functions with the long-term
objective of reducing barriers to entry into the USAID federal contracting market.
34% 23% 23% 20%
Parambir Gill; Yang Liu; Jing Zhao;
Geng Yuan5/18/2019 - 5/31/2019
Parambir Gill will travel to Maputo to oversee GHSC-PSM work in Mozambique and provide
strategic and technical oversight as well as quality assurance for deliverables produced in the
SIGLUS OpenLMIS source code upgrade.
Yang Liu, Solution Architect, will travel to Maputo to oversee GHSC-PSM work in Mozambique
as he is responsible for the solution design from the technical perspective and leading the
team to produce the technical requirements documentation.
Jing Zhao will travel to Maputo to oversee GHSC-PSM work in Mozambique as she is
responsible for the implementation of programming languages, integrated development
environments across different LMIS applications, and network frameworks for SIGLUS.
Geng Yuan will travel to Maputo to oversee GHSC-PSM work in Mozambique as he
responsible for the design and analysis of business requirements and resources for SIGLUS.
34% 15% 31% 19%
Natercia Macamo; Samira Ana Guina
Salomão Sibindy6/23/2019 - 7/7/2019
Ms. Macamo will travel to Accra, Ghana to participate in the 10th Annual Workshop on
Surveillance, Monitoring and Evaluation (SME) of Malaria Control Programs to reaffirm and
update her knowledge of the practical solutions for SME of malaria programs that are
applicable and replicable in the Mozambican context.
0% 100% 0% 0%
Mozambique
16
Dimitri Peffer 7/6/2019 - 7/12/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
37% 23% 21% 19%
Asmal Gopal; Nelson Edissone
Cândido Mbota7/8/2019 - 7/12/2019
GHSC-PSM Mozambique’s Provincial Support Manager, Mr. Asmal Gopal, will represent the
GHSC-PSM project at the Health and Humanitarian Logistics Conference in Kigali, Rwanda.
Mr. Gopal was an integral part of the GHSC-PSM response effort to Cyclone Idai and led the
organization of the emergency warehouse to ensure the efficient distribution of commodities in
the region. He will travel to Kigali to share best practices in warehousing and logistics in
emergency response scenarios to further improve response planning.
Mr. Mbota, Beira Regional Warehouse Manager for the Mozambique GHSC-PSM project, will
represent CMAM at the HHL Conference in Kigali, Rwanda. Mr. Mbota’s twelve years of
experience in warehousing and public health issues will allow him to speak with authority on
health and humanitarian logistics and improving best practices to prepare for emergency
response scenarios.
37% 23% 21% 19%
Antonio Langa 8/4/2019 - 8/10/2019
Mr. Antonio Langa will travel to Nairobi, Kenya to participate in and learn from an exchange of
experience with Kenyan MoH officials and GHSC-PSM in Kenya colleagues to better
understand how Mozambique can continue progressing toward its journey to self-reliance. Mr.
Langa will specifically learn about the success of the Global Family Planning Visibility and
Analytics Network (GFPVAN) in Kenya and what will be needed in Mozambique to build
capacity towards self-reliance.
32% 15% 36% 17%
Danielle Wiedeman 8/31/2019 - 10/2/2019
Danielle Wiedeman will travel to Maputo to conduct a reduction in workforce at the GHSC-
PSM Mozambique field office and provide coverage for Deputy Country Director, Andres
McAlister, who will be out of the office for one month on parental leave.
37% 23% 21% 19%
Samuel Oh &
Kaitlyn Roche 3/25/19-3/29/19
Ms. Roche and Mr. Oh will attend the GS1 Healthcare Conference to host meetings with
USAID pre-approved pharmaceutical wholesalers to discuss status against GS1
implementation requirements including the GS1 Global Data Synchronization Network
(GDSN). Ms. Roche and/or Mr. Oh will also present on GHSC-PSM’s master data initiatives,
including lessons learned on GDSN implementation to date, with one of the USAID pre-
approved wholesalers.
52.58% 34.19% 11.03% 2.2%
Ousseini Gado 09/28/2018 to 10/07/2018
The Country Director orientation is a Chemonics project management best practice that
contributes significantly to a project’s long-term technical and management
success—particularly in the context of GHSC-PSM, a centrally managed global project which,
at its core, is designed to leverage system strengthening best practices across countries and
encourage cross fertilization between the Global Supply Chain and Country Programs
teams. The purpose of the Country Director orientation is two-fold: 1) to build management
competencies and fluency in the resources available to support Mr. Gado and project
implementation in Niger; and, 2) orient Mr. Gado to Chemonics, GHSC-PSM, the functional
and operational leadership team, and USAID backstops.
0% 100% 0% 0%
Taylor Nickel 10/29/18-11/6/18
The purpose of this scope of work is to provide an assessment of the security environment of
the GHSC-PSM activity in Niger and design a security platform and operational plan to
mitigate against risks to project staff and operations, taking into account the appropriate
economic and political context.
0% 100% 0% 0%
Niger
Neatherlands
17
Alemnkia Agendia Fuotulah 11/15/18 to 12/10/18
The GHSC-PSM project in Niger has been operational since September 2018. Due to the
recent resignation of the project’s Finance and Operations Director, who is the sole operations
and finance staff currently employed on the project, the project requires short-term surge
support in the form of a short-term Acting Finance and Operations Director to ensure
the continuity of operations, including the recruitment and onboarding of new staff, payment of
vendors, and execution of key operational procurements.
0% 100% 0% 0%
John Stanton 02/11/2019 – 02/22/2019
John Stanton will travel to Niamey to provide technical leadership support for GHSC-PSM
Niger’s activities, as well as support the “common basket” model for commodity distribution
together with the NMCP, ONPPC, DPH/MT and the prime recipients of the implementation of
the Global Fund activities (Tuberculosis, Malaria and HIV/AIDS) and with other stakeholders.
He will work with the Country Director to develop a technical strategy for the Malaria last mile
distribution system in the Tahoua and Dosso regions and provide technical orientation to the
new GHSC-PSM field office team.
0% 100% 0% 0%
Hamallah Sidibe 02/17/2019 – 02/23/2019
It is Chemonics’ standard practice to send a Field Accounting Support Team (FAST) Manager
to its project offices at key stages of operations, where the project is currently in start-up. The
objective of this assignment is to support a compliant and consistent financial and operational
start-up and support the new project accountant in their training. The FAST Manager will
provide training in key financial areas to ensure that the accounting practices to be used in the
field office, in particular cash management and internal controls, are in accordance with
Chemonics’ standard practices and policies as well as with USAID regulations. In addition, the
FAST Manager will install the ABACUS accounting software and provide training for the
functionality and utilization of the software.
0% 100% 0% 0%
Suzanne Gold 03/31/2019 – 04/10/2019
The objective of this assignment is to support in the training and use of the EUV survey. Niger
will use the EUV survey to conduct its baseline assessment of facility stock levels and storage
conditions in the Tahoua and Dosso regions and will need training to use the new tool,
protocols, sampling strategy, and software platform. This assignment, to train project staff in
Niger and data collectors, will support the project to carry out these activities and future ones,
as well as continue GHSC-PSM’s ability to build on the usefulness and effectiveness of the
updated survey tool, protocols, and revised processes.
The second objective of the assignment, time-permitting, is to provide general M&E support
by reviewing current data collection, analysis, and reporting systems and processes to ensure
they are in line with the M&E plan and available source documents.
0% 100% 0% 0%
Johanna Schneider 4/20/2019 - 5/7/2019
Ms. Schneider will conduct a GIS survey on the approximately 336 warehousing and health
facilities in Dosso and Tahoua to gather geographic and capability data which will support
route and warehousing optimization. This will also include the use of trackers to map existing
road networks to all warehousing and health facilities in the two regions.
0% 100% 0% 0%
Jonathan Gatke 6/16/2019 - 6/30/2019
Jonathan Gatke will travel to Niamey, Niger to coordinate and oversee the logistics for the pre-
positioning in preparation for the 2019 seasonal malaria chemoprevention campaign.
Additionally, Mr. Gatke will be researching the costing information for the storage and
distribution of U.S. President’s Malaria Initiative-funded commodities at the central medical
store.
0% 100% 0% 0%
Philippe Marien Tache 7/9/2019 - 10/14/2019
Philippe Marien Tache will travel to Niamey, Niger to provide technical support in the
implementation of the FY19 work plan and organize consultative meetings with counterparts
to inform the elaboration of the FY20 work plan.
0% 100% 0% 0%
John Durgavich 8/24/2019 - 9/7/2019John Durgavich will travel to Niger to provide technical support to the Ministry of Health in their
quantification of Malaria commodities and review of the country’s supply plan.0% 100% 0% 0%
Emmanuel Le Perru 8/24/2019 - 9/7/2019
Emmanuel Le Perru will travel to Niamey, Niger to provide technical and management
leadership and oversight to the GHSC-PSM project in Niger and facilitate the finalization of the
FY20 work plan.
0% 100% 0% 0%
Nigeria
18
Kehinde Otto; Fatiya Askederin;
Mashood Lawal11/28/18–12/1/19
Ladi Stephen and Mary Ameh will co-present an abstract entitled “Better Supply Chain
System
Design Through a Human Centered Design Approach to Improve Maternal, Newborn and
Child Health (MNCH) Commodity Availability: The Experience in Nigeria.” This abstract
discusses the need to reduce maternal and child mortality through improved access to and
availability of MNCH commodities in three targeted states in Nigeria. The Human-Centered
Design (HCD) approach is also discussed as a way to co-design, co-create and co-develop
user centric solutions with end-users. Mr. Lawal wil participate as attendee of the summit.
52% 31% 13% 4%
John Stanton 12/2/18-2/7/18
Mr. John Stanton will travel to Nigeria to (1) meet senior project leadership to assess progress
against the prior year’s work plan, (2) review upcoming project activities, (3) support efforts to
improve communication between the project and USAID, and (4) discuss and plan with
project leadership and USAID/Nigeria the pending transition of the GHSC-PSM Country
Director.
52% 31% 13% 4%
Ralph Titus 12/3/18-12/14/18Mr. Titus will travel to Abuja to deliver trainings on 3PL subcontract management and to work
with local procurement staff on revising 3PL RFP processes for GHSC-PSM Nigeria. 70% 27.3% 0.7% 2%
Andrew Lewis 3/16/19-3/27/19
The GHSC-PSM Nigeria project is preparing for a transition of the country director and looking
to accelerate implementation of FY19 workplan activities on the heels of the workplan’s
approval. Andrew Lewis, in his capacity as PSM Nigeria PMU Director, will support the
transition planning and work with the GHSC-PSM Country Director and other technical leads
in consultation with USAID/Nigeria to prioritize key workplan deliverables and activities. Mr.
Lewis will also support efforts to improve communication within the field team and between the
project and USAID.
52% 31% 13% 4%
Kaitlyn Roche; Dana Tatnell 3/30/19-4/5/19
Phase 1: This trip will support FMoH and NAFDAC to convene a workshop planning team with
GoN and GS1 stakeholders to plan and coordinate the workshop. A preliminary SWOT
analysis for national traceability strategy development and implementation as well as a
finalized invitation list, speakers, and agenda for the final workshop will be established.
Phase 2: Ms. Tatnell will support FMoH and NAFDAC to host a 2-3-day workshop to develop
the vision, strategy, and a high-level roadmap. In addition, she will develop content and
materials for the sessions she will be leading during the workshop.
50% 32% 14% 4%
Kolawole Falayajo 3/26/19-3/28/19
Mr. Falayojo will participate in the GS1 Healthcare Conference to learn from world leaders
about GS1 standards and their experience with implementation and discuss regulatory
requirements. As Director of TQM, he will evaluate opportunities to integrate GS1 best
practices into activities focused on the efficacy, potency, and quality of commodities procured
by the project.
50% 32% 14% 4%
Andrew Lewis 04/28/2019 - 05/10/2019
Mr. Andrew Lewis will travel to Abuja, Nigeria from on/about April 26, 2019 – May 4, 2019 to
participate and oversee the stock-taking workshop with USAID and GHSC-PSM project in
Nigeria staff, provide support to the new Country Director, and support efforts to improve
communication with counterparts and stakeholders.
52% 31% 13% 4%
Dana Tatnell 6/21/2019 - 6/29/2019
Phase 1: Ms. Roche and Mr. Tedone will organize a workshop to engage with the Federal
Govt. of Nigeria (GoN) to develop a vision and strategy for traceability and define a near-term
roadmap on actions required to set the enabling environment for standards implementation.
This trip will support the Federal Ministry of Health (FMoH) and the National Agency for Food
and Drug Administration and Control (NAFDAC) to convene a workshop planning team with
GoN and GS1 stakeholders to plan and coordinate the workshop. A preliminary SWOT
analysis for national traceability strategy development and implementation as well as a
finalized invitation list, speakers, and agenda for the final workshop will be established.
Phase 2: Ms. Roche will support FMoH and NAFDAC to host a 2-3-day workshop to develop
the vision, strategy, and a high-level roadmap. In addition, Ms. Roche will develop content and
materials for the sessions she will be leading during the workshop.
50% 32% 14% 4%
19
Jay Heavner 06/21/2019 - 07/05/2019
Jay Heavner will travel to Abuja to work with the Knowledge Management and Communication
(KMC) team and other technical staff to develop a robust project communication strategy;
audit KMC activities and products; and develop some key knowledge products for the GHSC-
PSM including success products, case studies, and abstracts.
52% 31% 13% 4%
Michael Egboh 7/6/2019 - 7/13/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
52% 31% 13% 4%
Kolawole Falayajo 9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
50% 32% 14% 4%
Andrew Lewis; Angelina Njoku 9/21/2019 - 10/4/2019
Andrew Lewis will travel to Abuja to manage the finalization of the GHSC-PSM Nigeria FY20
work plan. As the Nigeria PMU Director, Mr. Lewis is responsible for designing and aligning
technical strategies and implementation approaches. He is also responsible for operational,
financial management and quality assurance assistance. He will work closely with the field
office staff, USAID, and other stakeholders in strategy sessions to identify, design, and
evaluate targeted activities. This includes ensuring FY20 project resources align to the
substantial funding cuts expected across the program and to program priorities outlined in the
MOP and various OGAC and OHA workplans. He will also support strategic joint planning to
leverage the shared resources of USAID and the Global Fund’s supply chain operations.
65% 5% 5% 25%
Ed Vreeke & Fatima Suleman 11/16/18-12/1/18
Mr. Vreeke and Ms. Suleman will travel to Kigali to meet with Rwanda Ministry of Health and
GHSC-PSM Rwanda staff to begin developing pharmaceutical pricing policy proposal by first
understanding the current pharmaceutical pricing landscape. 36% 32% 15% 17%
Oumer Andualem 11/17/18-12/8/18
The purpose of this activity is to equip the CPDS quantification committee with quantification
principles, methodologies and tools used for forecasting and supply planning of antiretrovirals,
laboratory, malaria, contraceptives, maternal and child health, and Tuberculosis (TB)
commodities. Quantification expert, Mr. Oumer, will first build the capacity of 15 trainers who
will then support him to train all quantification committee members over a two-week period.
36% 32% 15% 17%
Max Kabalisa; Muzayire, Celsa 11/26/18-12/1/18
The purpose of this scope of work is to attend the GHSC Summit, which aims to bring
together people, products, and processes to maximize the impact of global health supply
chains. The participants will gather experience and lessons learned from recent global supply
chain best practices for adaptation, as applicable. The one PSM Rwanda staff member, one
MOH Staff, and one MPPD staff member will be able to collaborate on future activities
including the pending optimization process of the conversion of MPPD into RMS Ltd. for the
government of Rwanda.
36% 32% 15% 17%
Ed Vreek; Fatima Suleman 3/10/19-3/22/19
Mr. Ed Vreeke will travel to Kigali, Rwanda to collect more pricing, consumption and import
data to underwrite the various pharmaceutical pricing policies and to facilitate the workshop
with stakeholders (consensus building) on drafting pharmaceutical pricing policy document
based on their feedback.
Ms. Fatima Suleman will travel to Kigali-Rwanda to facilitate a workshop with stakeholders
(consensus building) on draft pharmaceutical pricing policy document, based on their
feedback.
54% 8% 26% 12%
Rwanda
20
Parambir Gill; Swaroop Jayaprakash 3/23/19-4/7/19
Mr. Parambir S. Gill will travel to Rwanda to work with the Ministry of Health, USAID, Medical
Procurement and Production Division (MPPD), the field office and other stakeholders on
several MIS initiatives including Rwanda Public Health Supply Chain Information System
Roadmap, National Product Registry and Rwanda Public Health Data platform.
Mr. Swaroop Jayaprakash will also travel to Rwanda to work with the Ministry of Health,
USAID, MPPD, the field office and other stakeholders on several MIS initiatives including
Rwanda PH Supply Chain Information System Roadmap, National Product Registry and
Rwanda Public Health Data platform.
54% 8% 26% 12%
Kaitlyn Roche 5/18/2019 - 5/26/2019
Ms. Roche, Manager for Global Standards & Traceability will travel to Rwanda to work with
Field Office and Mr. Agoro, Traceability Technical Advisor to support the global standards and
pharmaceutical traceability implementation in Rwanda in collaboration with the Ministry of
Health and the Rwanda Food & Drug Authority.
54% 8% 26% 12%
Collins Agoro 5/18/2019 - 6/1/2019Mr. Agoro will travel to Kigali, Rwanda to transition into his new role to support the GHSC-
PSM Rwanda field office in implementing their FY19 GS1 and traceability activities54% 8% 26% 12%
Marilyn Kimeu; Dolly Michira 5/19/2019 - 7/12/2019
Ms. Kimeu will travel to Kigali, Rwanda to 1) lead the team and ensure the organization of
project by managing various streams of work; 2) attend meetings and manage relationships
with stakeholders on the ground to adapt and deepen on going analysis; 3) host meetings and
present team work to stakeholders.
Ms. Michira will travel to Kigali, Rwanda to 1) develop the deliverables including the
implementation plan, leveraging a mix of interviews, data collection and literature review; 2)
organize workshops for stakeholder input and feedback.
54% 8% 26% 12%
Safae Ettahiri 5/26/2019 - 7/6/2019
Ms. Ettahiri will travel to Kigali, Rwanda to lead the team and ensure the organization of
project by managing various streams of work, attend meetings and manage relationships with
stakeholders on the ground to adapt and deepen on going analysis, and host meetings and
present team work to stakeholders.
54% 8% 26% 12%
Stefania Slabyj 6/14/2019 - 6/22/2019
Ms. Slabyj will conduct a strategic leadership visit to Rwanda to review TA and Distribution
implementation progress to date, identify areas for refinement and lessons learned, review
technical project activities, and set the vision for future initiatives in alignment with GHSC-PSM
objectives and USAID Mission priorities.
54% 8% 26% 12%
Charles Karangwa; Antoine Gakunzi;
Joseph Kabatende; Alex Gisagara6/16/2019 - 6/22/2019
Mr. Karangwa will travel to Accra, Ghana to learn from the Ghana Food and Drug Authority
(FDA) on strengthening of pharmaceutical regulatory functions. Mr. Karangwa will engage
other FDA counterparts to learn about the overall management of the authority including
strategic and business plan, monitoring and evaluation, and performance management
framework.
Mr. Gakunzi will travel to Accra, Ghana to learn from the Ghana Food and Drug Authority
(FDA) on strengthening of pharmaceutical regulatory functions. Mr. Gakunzi will engage other
FDA counterparts to learn about the laboratory services department, including the testing
processes in drug physicochemical, food physicochemical, pharmaceutical microbiology, food
microbiology, cosmetic/household chemical substances, medical devices in accordance with
international standards.
Mr. Kabatende will travel to Accra, Ghana learn from the Ghana Food and Drug Authority
(FDA) on strengthening of pharmaceutical regulatory functions. Mr. Kabatende will engage
other FDA counterparts to learn about medicine, devices, vaccines, cosmetic, household
chemicals and food assessment and registration.
Mr. Gisagara will travel to Accra, Ghana to learn from the Ghana Food and Drug Authority
(FDA) on strengthening of pharmaceutical regulatory functions. Mr. Gisagara will engage other
FDA counterparts to learn about the food and drugs import export control, inspection and
compliance, market surveillance, inspection, licensing, and vigilance.
54% 8% 26% 12%
Ralph Titus; Steven Thomas 6/17/2019 - 6/30/2019
Mr. Titus will travel to Kigali to conduct a national supply chain costing study in Rwanda. Mr.
Titus will also train the Medical Procurement and Production Division (MPPD) on the use of
tools to continuously track its supply chain cost.
Mr. Thomas will travel to Kigali, as part of a team of two, to conduct a national supply chain
costing study in Rwanda. Mr. Thomas will also train MPPD on the use of tools to continuously
track its supply chain costs.
54% 8% 26% 12%
21
Benoît Healy 6/22/2019 - 7/10/2019
Mr. Healy will travel to Kigali, Rwanda to review financial and operational files and procedures
to ensure compliance with GHSC-PSM IDIQ contract requirements, Task Order requirements,
U.S.government rules and regulations, and Chemonics’ procedures and policies.
54% 8% 26% 12%
Ines Buki 7/8/2019 - 7/13/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
54% 8% 26% 12%
Felix Nzabandora; Edouard
Munyangaju; Vincent Sabagirirwa; 9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
54% 8% 26% 12%
Juan Valladares 3/25/19-4/7/19
The purpose of this activity is to conduct a review of the LMIS systems in country to identify
current data flow and data integration processes that include malaria commodities. Data
gathered during the review will be used to guide enhancements on malaria specific reports
and key performance indicators from the existing data aggregation databases and
dashboards. Review on the data integration process will also focus on identifying gaps in
standard operating procedures and LMIS and eLMIS.
Recommendations for report and key performance indicators will be disseminated with key
stakeholders.
0% 100% 0% 0%
Nassima Belkadi3/24/2019 - 4/18/2019;
4/28/2019 - 5/24/2019
The purpose of this trip was to attend the GHSA kickoff meeting and launch the GHSA activity
in Sierra Leone by introducing the Emergency Supply Chain Framework and Playbook to Core
Team members and providing necessary coaching.
0% 100% 0% 0%
Juan Valladares 3/25/2019 - 4/7/2019
Mr. Juan Valladares will conduct a Logistics Management and Information System (LMIS)
systems review in country to identify current data flow and data integration process that
include Malaria commodities.
0% 100% 0% 0%
Amina Kandil 4/4/2019 - 4/7/2019
The purpose of this trip was to attend GHSA Kickoff meeting to identify Emergency Supply
Chain (ESC) Core Team leadership and introduced the three modules of the ESC Customized
Playbook.
0% 100% 0% 0%
Victoria Siebert 5/5/2019 - 5/24/2019The purpose of this trip was to provide additional technical assistance to coordinate
information gathering and ESC stakeholders’ trainings. 0% 100% 0% 0%
Kate Gulitashvili 6/1/2019 - 6/14/2019
Ms. Gulitashvili will travel to Sierra Leone to provide technical and management support as the
Resident Malaria Advisor prepares for Maternity Leave. During her trip, Ms. Gulitashvili will
also attend the GHSA simulation exercise and activity closeout.
0% 100% 0% 0%
Juan Valladares 7/31/2019-8/11/2019
Mr. Juan Valladares will provide training on forecasting and supply planning tools to Malaria
TWG, as well as provide support to the NMCP in the annual quantification exercise of malaria
commodities.
0% 100% 0% 0%
Nadja Moore 8/8/2019 - 8/16/2019
Ms. Moore will travel to Sierra Leone to provide operational support to the GHSC-PSM in
Sierra Leone field office and work with the team to prepare the FY2020 workplan narrative and
budget. Ms. Moore will provide support and refresher training to staff on financial and
operational compliance procedures.
0% 100% 0% 0%
Sierra Leone
South Africa
22
Ramesh Rajeswaran & Jawahar
Kandasamy 10/25/18-10/31/18
Ramesh Rajeswaran and Jawahar Kandasamy – Mr. Rajeswaran and Mr. Kandasamy visit
PSM recompeted warehousing services in South Africa and identified a new vendor to execute
operations. PSM is winding down operations in the old warehouse (operated by IHS) and is in
the process of transferring stock to the new warehouse (operated by DSV) as well as ensuring
that all scheduled outbound orders leave the IHS warehouse by October 31st. The transition
of operations from IHS to DSV is expected to generate savings of about $1 million annually.
83% 10% 7% 0%
John Stanton 5/18/2019 - 5/29/2019
Mr. Stanton will travel from Washington, D.C. to Juba, South Sudan to oversee the Call
Center Consultant and provide managerial support to the Integrated Call Center (ICC) activity.
In addition, he will provide program management and technical assistance to the field office in
anticipation of two Task Order closeouts, as well as provide onboarding assistance for the new
short-term Deputy Country Director
34% 32% 34% 0%
David Andreu 5/18/2019 - 6/1/2019
Mr. Andreu will travel from Palma de Mallorca, Spain to Juba, South Sudan to provide
technical assistance for the Integrated Call Center (ICC) activity. He will ensure that the call
center equipment is correctly calibrated to South Sudan’s bandwidth specifications and that all
technical software is accurately set up. In addition, he will be updating the ICC infrastructure
and ensuring full working capacity of the database and its applications.
34% 32% 34% 0%
Saul Kidde 7/7/2019 - 7/13/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
34% 32% 34% 0%
Danielle Wiedeman 8/18/2019 - 8/31/2019
Ms. Wiedeman will travel to Juba, South Sudan to provide program management and
technical assistance to the field office during a period of transition after the Country Director’s
resignation from the project and the Deputy Country Director’s personal leave. Ms. Wiedeman
will also provide leadership support in advance of two anticipated task order close-outs and
facilitate the continuation of critical operations and technical activities outlined in the FY19
work plan.
34% 32% 34% 0%
Rachel Vas 11/8/18-11/20/18
The purpose of this STTA is to align the GHSC-PSM procurement and delivery strategy for
Tanzania with country requirements and meet with key Ministry of Health stakeholders in
country to address recent challenges with product delivery, review local GHSC-PSM staff
performance, validate current GHSC-PSM and GHSC-TA-TZ project responsibilities, as well
as meet with implementing partners that GHSC-PSM procures and delivers on their behalf.
65% 25% 10% 0%
Rebecca Logan 11/11/18-11/17/18
The purpose of this STTA is to align the GHSC-PSM procurement and delivery strategy for
Tanzania with country requirements and meet with key Ministry of Health stakeholders in
country to address recent challenges with product delivery, review local GHSC-PSM staff
performance, validate current GHSC-PSM and GHSC-TA-TZ project responsibilities, as well
as meet with implementing partners that GHSC-PSM procures and delivers on their behalf.
65% 25% 10% 0%
Rachel Vas 6/15/2019 - 8/16/2019
Ms. Rachel Vas will travel to Dar es Salaam to meet with key in-country counterparts on
procurement related matters to create efficiencies that foster the projects overall procurement
and logistics efforts in Tanzania. She will also onboard new GHSC-PSM project team
members, as well as facilitate rapid and smooth administrative and operational set of the
GHSC-PSM footprint.
65% 25% 10% 0%
South Sudan
Tanzania
Thailand and Laos
23
Nathalie Albrow 01/4/19-01/19/19
Nathalie Albrow will travel to Bangkok, Thailand to review technical project activities,
administer an orientation to project staff, elaborate work flows and roles/responsibilities and
assist with operationalization of FY19 technical work plan activities to align with GHSC-PSM
objectives and USAID Mission priorities.
0% 100% 0% 0%
Tyler Smith 4/27/2019 - 5/10/2019Mr. Smith, GHSC-PSM LMIS Specialist will travel to Thailand to conduct a Logistics
Management Information System (LMIS) assessment for malaria commodities.0% 100% 0% 0%
Nathalie Albrow 6/19/2019 - 6/21/2019
Nathalie Albrow will travel to Bangkok, Thailand to review technical project activities,
administer an overview orientation to the newly hired GHSC-PSM project staff, and discuss
upcoming activities in preparation for FY20 work planning.
0% 100% 0% 0%
John Battaile 9/5/2019 - 9/20/2019
Mr. Battaile will travel to Bangkok, Thailand to support the field office’s accounting system start-
up for GHSC-PSM in Thailand. He will then travel to Phnom Penh, Cambodia to train the
Finance Officer in Cambodia. Our Finance Officer in Cambodia will be providing remote
accounting support for our project in Thailand.
25% 75% 0% 0%
Reginald Baddoo 12/5/18-12/6/18
Mr. Reginald Baddoo will travel to Kampala, Uganda to participate in National Supply Chain
2.0 (NSCA2.0) workshop being conducted by the Uganda Ministry of Health to understand
processes, challenges and best practices. 34% 32% 31% 3%
Dr. Hua Ni 4/29/2019 - 5/3/2019
Dr. Ni will travel to Kampala to attend the ICT4D Conference during April 30-May 2, 2019.
While in country for conference attendance, Dr. Ni will also visit the GHSC-PSM Uganda
project office to discuss the options for inventory dashboard analysis as well as review the
quality and consistency of data need for optimization exercise at NMS
69% 14% 17% 0%
Khalid Mohammed Abdul 7/7/2019 - 7/17/2019
Dr. Mohammed will travel to Crystal City, VA to participate in the second bi-annual Country
Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities. Dr.
Mohammad will stay additional days to participate in home-office meetings and trainings. He
will engage with Washington-based leadership to discuss program priorities.
69% 14% 17% 0%
Dana Tatnell 7/13/2019 - 7/26/2019
Ms. Tatnell, Global Standards Analyst, will travel to Uganda to support the barcode
implementation activity at the Joint Medical Stores. During her visit, she will review the
availability of GS1 standards and draft technical specifications for required systems and
technologies.
69% 14% 17% 0%
Steven Thomas 7/15/2019 - 7/26/2019
Mr. Thomas will travel to Kampala, as part of a team of two to continue with Phase II of the
Activity Based Costing (ABC) at the Joint Medical Stores (JMS). During Phase II, the team will
customize the ABC tools and train JMS staff to capture, analyze and use the information for
decision making.
69% 14% 17% 0%
Stefania Slabyj 8/3/2019 - 8/11/2019
Ms. Slabyj will conduct a strategic leadership visit to Uganda to review overall project
implementation progress to date, identify areas for refinement and lessons learned, review
technical project activities, support FY20 work planning and set the vision for future initiatives
in alignment with GHSC-PSM objectives and USAID Mission priorities.
69% 14% 17% 0%
Geert Geerligs 9/30/18-10/12/18
Geert Geerligs will travel to Crystal City to perform his tasks as acting QA Team Manager at
headquarters. The objective of this assignment is to perform the QA Manager task at
headquarters, to ensure close cooperation with GHSC-QA, USAID, the TO2 QA Team,
Procurement, D/R, QMU, and other PSM teams.
79% 10% 7% 4%
Uganda
USA
24
Leanne Ruitenbeek 10/21/18-11/1/18
Under Task Order 2 – Malaria, GHSC-PSM is responsible for quality assurance and quality
control of commodities purchased. This is executed by staff from consortium partner SGS,
with staff located at both the GHSC-PSM HQ office in Crystal City Virginia and at the SGS
office in the Netherlands. Leanne Ruitenbeek supports Brigitte Heiden as Acting TO2 QA/QC
Manager until a permanent candidate is found.
The objective of this assignment is to perform the TO2 QA/QC Manager task from
headquarters, enabling to more closely cooperate with the headquarters TO2 QA Team,
Procurement, D/R, QMU, and other GHSC-PSM teams.
0% 100% 0% 0%
Geert Geerligs 11/11/18-11/21/18
The objective of this assignment is to train the new QA Manager on his tasks and facilitate a
smooth transition. Geert will provide training on the GHSC – PSM project, the role of GHSC-
PSM QA, the role of GHSC – QA, and the role of the various GHSC- PSM teams, including
the TO2 QA Team, Procurement, Deliver and /Return, Quality Management Unit, and other
GHSC-PSM teams. He will introduce him to all relevant staff, clarify the status of topics such
as the Activity Matrix, ongoing incidents, procedures and work instructions that are in
progress, etc.
79% 10% 7% 4%
Peter Okebukola; Tony Lee; Michael
Fleming; Nikhil George; Irfan
Mahmud 9/15/18-11/11/18
Mr. Okebukola, Mr. Lee, Mr. Fleming, Mr. George, and Mr. Mahmud will travel to Lusaka,
Zambia to (1) conduct a needs assessment of the National Supply Chain Strategy (NSCS), (2)
develop a draft NSCS in coordination with USG, MOH and other implementing partners, and
(3) design the governance and performance management infrastructure to ensure successful
implementation of new NSCS.
63% 19% 18% 0%
Tara MacKinnon 11/1/18-11/16/18
Ms. Tara MacKinnon will travel to Lusaka to review the project’s financial and operational
procedures and their compliance to the client’s rules and regulations as well as Chemonics’
policies and procedures. She will work with the field office to ensure accurate tracking of task
order funding, expenditure, and reporting.
71.5% 7% 18% 3.5%
Hua Ni 12/1/18-12/5/18
Mr. Hua Ni will attend at the Global Health Supply Chain Summit 2018 to conduct a
presentation on "Optimizing the USAID Global Health Supply Chain Network: A Journey
toward Supply Chain Transformation" He will then stay in-country for an additional 3 days to
support technical assistance, discuss, and report on the interim finding of the simulation
analysis of inventory movements and transportation allocations.
Summit
funding
79%;
Extension
funding
70.5%
Summit
funding
10%;
Extension
funding
8%
Summit funding 7%;
Extension funding 18%
Summit
funding
4%;
Extension
funding
3.5%
Andrew Brown 3/25/19-4/5/19
Mr. Andrew Brown will travel to Lusaka, Zambia to provide technical support for an
assessment of supply chain management performance gaps among health personnel involved
in commodity management at provincial, district and SDP levels 70.5% 8% 18% 3.5%
Kaitlyn Roche 5/10/2019 - 5/19/2019
Ms. Roche will travel to Lusaka, Zambia to raise awareness among stakeholder groups and
solicit buy-in for the establishment of a national coordinating committee for pharmaceutical
traceability. She will also be conducting Activity Phase 1: Advocacy and Awareness.
71% 8% 18% 4%
Dion de Gruchy 5/13/2019 - 7/30/2019
The purpose of this scope of work is two-fold: First, to provide hands-on technical support and
trouble-shooting to Medical Stores Limited (MSL) for short-term improvements to
operationalize the regional distribution centers (RDC) sand second to provide high-level
strategic planning for future activities in the form of a roadmap operationalize the RDCs.
71% 8% 18% 4%
Simon Pennelegion; Simon James
Chew6/10/2019 - 6/15/2019
The purpose of Mr. Pennelegion and Mr. Chew's trip is to provide MACS-specific technical
assistance to GHSC-PSM Zambia. Under the management of the GHSC-PSM field team, the
MACS team will conduct a current-state assessment of MACS software and hardware. The
MACS team will also develop a costed, time-bound proposal for future interventions to roll-out
MACS in the regional hubs. Lastly, at the direction of GHSC-PSM, the team will address any
issues or opportunities for improved functionality that can be addressed during the in-country
portion of the STTA.
71% 8% 18% 4%
Zambia
25
Jean Marc Vander Stichelen 7/7/2019 - 7/18/2019
Jean-Marc Vander Stichelen will travel to Crystal City, VA to participate in the second bi-
annual Country Directors Meeting. The weeklong Country Directors Meeting will be a state of
the art (SOTA) technical conference to engage the Country Directors in knowledge sharing
across task orders and global programs. The Country Directors will meet with GHSC-PSM
headquarters teams for strategic visioning sessions around the three GHSC-PSM objectives
(1. Improve availability of health commodities; 2. Strengthen in-country supply chains; and 3.
Increase effective global collaboration to improve long-term availability of health commodities).
It will also be to prepare for the FY20 work planning process, encourage interactions with
USAID Washington Backstops on priorities for FY20, and provide opportunities to connect
with and learn from headquarters colleagues. Immediately following this Meeting, Jean-Marc
will participate in technical, operational, and strategic sessions and introductions with HQ
counterparts, which includes meetings with the Managing Director, GHSC-PSM leadership,
and the Zambia Project Management Unit in the Crystal City office.
71% 8% 18% 4%
Robert Ginsberg 7/7/2019 - 7/21/2019To provide technical assistance in developing PowerBI dashboards and tools to more
effectively use available data to identify supply chain needs and assist in forecasting.71% 8% 18% 4%
Allan Rotman 7/14/2019 - 8/16/2019
Mr. Allan Rotman will travel to Lusaka, Zambia, to provide technical assistance on assessing
the feasibility of setting up and operating a drug basket account for Ministry of Health (MOH).
The outcome expected is a decision of whether or not to pursue the basket fund approach. If a
positive determination is made, Mr. Rotman will prepare a roadmap on the way forward that
includes terms of reference for a drug basket core group that would continue to work on this
initiative.
71% 8% 18% 4%
Kaitlyn Roche 7/20/2019 - 7/27/2019
Ms. Roche will travel to Lusaka, Zambia to support the national coordinating committee for
pharmaceutical traceability by facilitating a Zambia national pharmaceutical traceability
workshop to develop the collective vision, strategy and high-level roadmap for pharmaceutical
traceability in Zambia.
71% 8% 18% 4%
Rachel Smith 7/21/2019 - 7/27/2019
Ms. Tatnell will travel to Lusaka, Zambia to support the national coordinating committee for
pharmaceutical traceability by facilitating a Zambia national pharmaceutical traceability
workshop to develop the collective vision, strategy and high-level roadmap for pharmaceutical
traceability in Zambia. She will also be conducting Activity Phase 2: National Vision & Strategy
Workshop.
71% 8% 18% 4%
Barry Chovitz 8/5/2019 - 8/16/2019
Barry Chovitz will travel to Zambia to develop a road map to integrate the four logistics
systems currently in use by the Zambian MOH to improve supply chain efficiency among the
following four logistics systems: ARV Logistics System (ARV LS), HIV Test Kits Logistics
System (HTKLS), Essential Medicines Logistics Improvement Program (EMLIP), and the
National Laboratory Logistics System (NLLS). He will also work with the Zambia leadership
team to review activities in fiscal year 2019 in preparation for development of the work plan for
fiscal year 2020.
71% 8% 18% 4%
Derrick Nyimbili; Samson Phiri;
Illitongo Saasa Sondashi; Abel
Livingi;
Dr. Zuma Munkombwe
9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
71% 8% 18% 4%
Sachin Jagtap 5/18/2019 - 5/26/2019Sachin Jagtap will travel to Harare to redesign the community health worker reporting and
resupply system.0% 100% 0% 0%
Zimbabwe
26
Caroline Mashingaidze 7/7/2019 - 7/13/2019
The purpose of this trip is to travel to Crystal City, VA to participate in the second bi-annual
Country Directors’ Meeting. The weeklong meeting will be a state of the art (SOTA) technical
conference to engage the Country Directors in knowledge sharing across task orders and
global programs. The Country Directors will meet with GHSC-PSM headquarters teams,
USAID Washington backstops, and colleagues for strategic visioning sessions around GHSC-
PSM objectives, and preparation for the FY20 work planning process and priorities.
85% 15% 0% 0%
Chester Marufu; Zealous Nyabadza;
Ropafadzai Hove 9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
85% 15% 0% 0%
Brigitte Heiden 4/1/2019 - 4/13/2019
Brigitte Heiden will travel to Crystal City in her capacity as Acting TO2 Quality
Assurance/Quality Control (QA/QC) Manager to train and handover tasks to the new TO2
QA/QC Manager, Mattu Bockarie-Davis, who will start on March 25, 2019.
0% 100% 0% 0%
Michael J. Smith 4/2/2019 - 4/14/2019
The purpose of this trip is to coordinate the USAID Introduction to Supply Chain Management
& Commodity Security for Health Commodities course to USAID staff at the training center in
Pretoria, which takes place from Monday, April 8th to Friday, April 12th. Mr. Smith will depart a
day earlier than Dr. Brown and Mr. Chovitz in order to complete arrangements with the training
center staff on Friday, April 5th in advance of the start of the course on Monday, April 8th.
30% 30% 30% 10%
Barry Chovitz 4/5/2019 - 4/14/2019
The purpose of this trip is to facilitate the USAID Introduction to Supply Chain Management &
Commodity Security for Health Commodities course to USAID staff at the training center in
Pretoria, which takes place from Monday, April 8th to Friday, April 12th.
30% 30% 30% 10%
Andrew Brown 4/6/2019 - 4/14/2019
The purpose of this trip is to facilitate the USAID Introduction to Supply Chain Management &
Commodity Security for Health Commodities course to USAID staff at the training center in
Pretoria, which takes place from Monday, April 8th to Friday, April 12th.
30% 30% 30% 10%
Ashley Greve 4/29/2019 - 5/3/2019
Ms. Greve will attend the ICT4D Conference in Uganda as a co-presenter on warehousing and
distribution activities, including Internet of Things (IoT) sensor use and data collection,
Unmanned Aerial Vehicles (UAVs) for cargo carrying, and the Transportation Information Tool
(TransIT) to showcase USAID’s warehousing and distribution successes through the GHSC-
PSM project.
57% 31% 10% 2%
Colleen Karoliszyn; Sarah Khederian 5/28/2019 - 6/19/2019
Colleen Karoliszyn and Sarah Khederian will travel to Uganda, China and India to onboard
new and old suppliers onto the new IDIQ vehicle (which differs significantly from the old
vehicle), align goals and expectations, and better understand vendor operations and
constraints. This is particularly critical for suppliers with which GHSC-PSM will enter into VMI
arrangements, as the particulars of those operations will have to be well understood and
carefully managed.
0% 100% 0% 0%
Collins Agoro 7/8/2019 - 7/19/2019
Collins Agoro will travel to Crystal City, VA to participate in the second bi-annual Country
Directors’ Meeting. Mr. Agoro will co-facilitate a technical session during the weeklong Country
Directors’ Meeting technical conference to engage the Country Directors in GS1’s traceability
global technical approach and what it takes to implement, using Rwanda traceability activity as
an example. Mr. Agoro will also attend a team retreat and visioning workshop to prepare for
the FY20 work planning process for the GS1 technical activities, participate in discussions
with USAID Washington backstops on priorities for the coming year, and connect with and
learn from headquarters colleagues.
57% 31% 10% 2%
HQ
27
Brigitte Heiden 7/14/2019 - 7/20/2019
Brigitte Heiden, TO2 QC Liaison Officer, will continue coaching Mattu Bockarie-Davis, TO2
QA/QC Manager, and also participate in the GHSC-PSM PMI Malaria meeting on July 18,
2019.
0% 100% 0% 0%
Ambika Raghavan 7/20/2019 - 7/25/2019
Ambika Raghavanwill travel to Johannesburg, South Africato visit GHSC-PSM’s Regional
Distribution Center(RDC). During this visit Ms. Raghavanwill review the adequacy of the
processes and systems in place, identify areas of improvement, and analyze the procedures
needed to importproducts into Mozambique.
78% 18% 4% 0%
Sara Ma 7/20/2019 - 7/25/2019
Sara Mawill travel to Johannesburg, South Africato visit GHSC-PSM’s Regional Distribution
Center (RDC). During this visit Ms. Ma will review the adequacy of the processes and systems
in place, identify areas of improvement, and analyze the procedures needed to importproducts
into Mozambique.
96% 0% 4% 0%
Ryan Triche 7/27/2019 - 8/14/2019
Mr. Triche will provide logistical, operational, and management support for the GHSC-PSM
Unmanned Aerial Vehicle (UAV, or drone) activity in Malawi. During this time, the team
anticipates steady state flight operations between the initial two ground control stations at
Nkhata Bay District Hospital and St. Peter’s Hospital on Likoma Island. Mr. Triche will also
keep USAID/Washington and local stakeholders apprised of activity progress and any
adjustments to the activity plan.
57% 31% 10% 2%
David DiSilvestro; Poonam
Ramakrishna; Nicole Sherman; Walid
Irshad
9/7/2019 - 9/14/2019
Business Analyst, David DiSilvestro Business Analyst, Nicole Sherman, Business Analyst,
Poonam Ramakrishna, and Data/Application Architect, will travel to Bangalore, Indiato oversee
GHSC-PSM work in the MIS office located there. The focus of the trip is to ensure that MIS
staff are meeting requirements, and to identify new areas of improvement, and mark progress
since the transition to the IBM India team that took place at the beginning of FY19.
57% 31% 10% 2%
Ralph Titus 9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
57% 31% 10% 2%
Kaitlyn Roche; Sean Lockhead;
Violet Ketani; Collins Obiero Agoro; 9/16/2019 - 9/20/2019
The objective of this assignment is for attendees to participate in the 2nd Annual African GS1
Healthcare Conference. Building on the momentum from last year’s conference in Ethiopia,
this event will include presentations from healthcare leaders from the private industry,
governmental bodies, healthcare providers, and aid organizations on the progress of
worldwide efforts to implement global standards to ensure visibility and security in medicine
supply chains. The objective of this workshop will be to hear from teams and field offices
across the project on the global standards work they have done in the past year as well as
their plans and goals for the coming year.
53% 34% 11% 2%
Naizgi Haile 9/23/2019 - 9/27/2019
Naizgi Haile will travel to GHSC-PSM’s regional distribution center (RDC) located in
Johannesburg, South Africa to observe the annual physical inventory count and reconcile the
physical inventory count with the inventory report, as contractually required. He will also review
the processes for inbound and outbound shipments, order receipt and generation of
documents and report the findings to Jawahar Kandasamy, RDC Manager.
78% 18% 4% 0%
Matthew Rando; Mattu Bockarie-
Davis9/22/2019 - 9/28/2019
Matthew Rando will travel to Singapore to attend a Long Lasting Insecticide-Treated Net
(LLIN) supplier summit hosted by The Global Fund. The primary topics addressed will be
GHSC-PSM’s sourcing strategy and future approach to quality assurance in the LLIN market.
Mattu Bockarie-Davis will travel to Singapore to attend an LLIN supplier summit hosted by The
Global Fund. The primary topics addressed will be GHSC-PSM’s sourcing strategy and future
approach to quality assurance in the LLIN market.
0% 100% 0% 0%
28
Angola Burkina Faso Burundi Cameroon Ethiopia Ghana Liberia Mali Mozambique Nigeria Niger Zambia Zimbabwe
Date of the last EUV
survey in FY19Jun-19 Sep-19 May-19 Sep-19 Aug-19 Sep-19 Mar-19 Sep-19 Aug-19 Aug-19 Apr-19 Aug-19 May-19
Number of surveys
completed in FY 20192 2 1 2 2 2 2 2 2 2 1 4 2
Total Number of
surveys completed
since August 2016
5 9 3 3 5 8 2 3 11 6 1 11 9
Survey Frequency Semi-annual Semi-annual Annual Semi-annual Semi-annual Semi-annual Three times per year Semi-annual
Quarterly, at
the discretion of the Govt. of
Mozambique
Semi-annual Annual Quarterly Semi-annual
Facility information
2,888 health facilities and 184
warehouses (18 provincial and 166
municipal)
2,337
1,348 (1192 health centers and
108 hospitals) and 48 district
warehouses
6,228 health facilities in
country and two PMI
supported regions have
750 health facilities with
300 in the North Region,
and 450 in Far North
Region
3,016 hospitals and health
centers and
12,000 health posts
Approximately 5,000 facilities
831 facilities (732 clinics, 62
health centers, and 37
hospitals). These facilities
include public, private, and faith
based.
Public sector: 1 CMS, 8 Regional
warehouses (PPMR), 5 Hospitals
third references, 8 Hospitals
second references, 62- health
districts (District hospital including
district warehouses), around
1,366- CSCom (health centers at
community level)
1,596 facilities in the country plus 11
provincial
warehouses
and 147 district warehouses
3,666 across 11 PMI-
focused states
311 health facilities in
Dosso and Tahoua, the
two regions in which
PSM/Niger operates
Total 2400 facilities across the
whole country1,684
Methodology
Multi-level sampling based on
malaria prevalence and delay in
submitting malaria reports. It was
defined 95% CL and 5% MoE.
Using NMCP database, 10
provinces are selected; 3
municipalities per province are
selected; 23 health facilities are
selected per province, including
the provincial depot in each
province and the municipal depot
in each selected municipality. EUV
is carried out by GHSC-PSM staff
with MoH officials at national,
provincial and municipal levels.
Multi‐ level stratified
random sampling (by
region, district, and facility
type); all 13 regions are
covered in each round.
Systematic random
sampling is used to
select the peripheral
health units. When a
health facility is selected,
the corresponding depot
dispatcher of Districts
(DRD) and the CAMEG
regional agency will be
selected too.
Burundi NMCP through the
steering committee coordinate
the implementation of EUV. Multi-
level stratified samples of 88
sites were randomly selected: At
central level National medical
store CAMEBU and PSI
warehouse were automatically
included,12 district warehouses,
12 hospital warehouses and 62
health centers. Data were
collected using three
questionnaires: the first one was
for supply chain indicators ,the
second for malaria case
management indicators and the
last one was the community
level (CHWs).
Multiple level stratified
random sampling in 8 of
the 10 regions.
The sample is stratified by
region (9 regions and 1 city
administration) and facility
type (hospitals, and health
centers).
Multi-level stratified sampling.
Two districts are randomly
selected within each region. In
each district, a district hospital
is included. Selection of clinics
and CHP level facilities are
weighted by the proportion of
each of these facilities within a
selected district. Approximately
100 facilities are selected twice
a year.
Multiple level stratified random
sampling. There are 15
counties in Liberia. In each
EUV survey, five counties will
be constantly visited, and five
other counties from the rest of
the ten counties will be visited
on a rotational basis.
Therefore, 10 counites are
selected in each EUV survey.
EUV is conducted in GHSC-PSM
intervention areas (Kayes,
Koulikoro, Sikasso, Segou, Mopti
regions and the district of
Bamako). Stratified sampling
used to ensure that each type of
facility at each level is
represented. Parastatals were
selected only in Bamako district.
CSCOM was selected based on
random sampling. If a structure is
not accessible due to road or
security conditions, it can be
replaced by an accessible
structure with the same
characteristics.
Data are collected quarterly in all
provinces;Two rural district + one
urban district (provincial capital) are
selected from each province; The
first rural district is selected
randomly; The second rural district is
selected based on proximity with the
first one (due to logistic and road
issues); The urban district is always
included; Within each rural district:
One District Warehouse is selected
and the most relevant reference
health facility or rural hospital is
always selected; One health
peripherical center are randomly
selected ; Within each urban district:
One Provincial or distrital Warehouse
is selected and One provincial or
central hospital is always selected ;
One health center is randomly
selected.
Due to the large number
of health facilities in the
country, sampling is
carried out only in PMI-
focus States. A mix of
random and purposeful
sampling, stratified along
facility type (i.e.
secondary and primary
level facilities).
Plan for EUV in Q3:
Multiple level stratified
random sampling in the
two selected regions.
The sites were selected
based on their
probability proportional
to size (PPS) sampling.
Multiple level stratified random
sampling (by malaria burden, 2
districts randomly selected per
province then predetermined
number of facilities selected at
random by service delivery level
(HP, HC, Hospital) quarterly.
Malaria burden categories
(groups) 0-5; no provinces under
groups 0 and 2. HFs sampling:
Group 1 (Lusaka and Southern;
10 HFs per province), Group 3
(Copperbelt, Central, Eastern,
Luapula, Northern and Muchinga;
48 HFs), Group 4 (Northwestern
and Western; 22 HFs).
Multi-level, stratified random
sampling (by malaria burden, by
district by facility) across the
provinces biannually. Sampling
incorporates a malaria burden
approach (i.e. elimination, low
transmission and high burden
districts). High/medium burden
districts are given a higher
weighting than the low
transmission and elimination
areas when sampling. 160 treating
facilities are randomly selected
across the country per year.
Changes in
methodology
Yes, largely in sample size
selection to ensure inclusion of the
6 PMI-supported provinces in all
EUV (ie 6 of the 10 selected
provinces are the PMI-supported
provinces). Luanda, the capital city
will also be included in all EUV.
The remaining 3 provinces will be
selected with NMCP guidance
based on established NMCP
criteria (malaria prevalence and
delay in submitting malaria
reports).
None None None None
Standardized survey
questionnaire with optional
additional country specific
modules; frequency and timing
of data collection (bi-annually);
sampling strategy; change in
survey package – SurveyCTO,
new standard manual.
None
The project implemented a new
methodology on End-Use
Verification (EUV), which included
the following new elements:
- Use of an updated and
standardized questionnaire
-Use of an updated sampling
method to ensure national
representativeness and increased
accuracy
- Training of data collectors using
an updated and standardized
curriculum.
- Using SurveyCTO via mobile
devices and synchronizing data in
a central repository, which will
allow automated analysis and
better project access to raw data.
New methodology in place since
FY19Q2.None None
Temporally switched to bi-
annually in first half of FY18 then
back to quarterly in second half.
Switched from Magpi to
SurveyCTO in August 2018.
Included MNCH in FY18Q4 round.
FY19 Q1 data will be collected
from 80 sites, Q2-Q4 will reduce
to 40 sites.
Stratify districts based on malaria
burden into three categories
(high/medium burden, low burden,
and elimination areas) based on
annual malaria incidence.
Numbers of SDPs
and warehouses
visited in FY19 EUV
surveys
313 (8 provincial and 27 municipal
warehouses; 8 provincial hospitals;
36 hospitals municipal hospitals;
104 health centers; and 127 health
posts
80 SDPs, 48 District
warehouses; 8 CAMEG
Regional
88 (14 warehouses: 1 national
central medical store, 1 PSI’s
LLINs warehouse, 12 district’s
pharmacies; and 74 SDPs
including 12 district’s hospitals
and 62 health centers)
Aug 2018: 112 sites (5
Regional Hospitals, 10
District Hospitals, 11 Sub-
divisional Hospitals, 77
Integrated Health Centers,
and 9 other type of
facilities)
90-120 SDPs and 14 -17
warehouses
Approximately 100 – 120
facilities twice a year
169 facilities and 9 county
depots
86 service delivery points (SDPs)
and 29 warehouses108 facilities per quarter
110 every cycle; and 220
yearly, no warehouses
58 Service delivery
points ,2 district
warehouses and 2
regional hospitals
80 sites visited in Q1, 40 facilities
visited in Q2-Q4; in total 200 sites
completed in FY19 (levels - Health
Post, Health Center and
Hospitals)
Last EUV visited 72 facilities.
Software used SurveyCTO SurveyCTO
FY19: paper based tool for data
collection, SPSS for data
analysis.Note that SurveyCTO
will be used for the next round
EUV data collection .
SurveyCTO
Collected using
SurveyCTO. Data are
vlidated, cleaned and
analyzed using Excel.
SurveyCTO SurveyCTO
Data collection and validation with
SurveyCTO
cleaning and analysis with SPSS
and Excel
Collected using paper-based tool
then entered into Excel. Data are
validated, cleaned and analyzed
using Excel
SurveyCTO SurveyCTO SurveyCTO SurveyCTO
Annex B. EUV Summary
Angola Burkina Faso Burundi Cameroon Ethiopia Ghana Liberia Mali Mozambique Nigeria Niger Zambia Zimbabwe
Formal agreement
with MOH/NMCP
regarding data
ownership?
PMI is the sole data owner for the
EUV activity. At the end of each
activity the report is shared with
stakeholders involved at all levels.
There is no formal
agreement with the
NMCP regarding the EUV
data. Although the project
hosts the activity and
database, the NMCP has
ownership of the data.
There is no specific agreement
with the NMCP regarding EUV
data but the NMCP include EUV
exercise in their annual work
plan. Currently GHSC-PSM
owns the raw data as it is
received from facilities. The
project also generates the
reports using PMI template and
Burundi MOH template .GHSC-
PSM in collaboration with NMCP
disseminates the report with
other stakeholders.
No specific "agreement"
with MOH/NMCP as all
activities are discussed
and validated between PMI
and NMCP before MOPs
is approved. NMCP has
no formal ownership of
data but are conducting
data collection. They
involve in the data analysis
and have access to the
data base.
No formal agreement but,
the report is shared for
FMOH to take actions.
No formal agreement exists with
NMCP regarding ownership of
data. However, report is shared
with stakeholders and
GHS/MOH counterparts.
No formal agreement exists
with NMCP regarding
ownership of data. However,
the project provides technical
support to the activity, hosts
the database and share the
report with stakeholders and
MOH counterparts.
No formal agreement with
MOH/NMCP regarding data
ownership. NMCP is the lead of
the overall the implementing
process (from planning to results
dissemination).
No formal agreement currently.
As the data is collected through
routine supervision activities, the data
belongs to MoH.
There is no formal
agreement with the
FMOH/ NMEP regarding
the use of EUV data; its
ownership and use is
determined by USAID.
The government
disseminates the report
at national and state
PSM sub-committee
meetings.
There is no formal
agreement with the
PNLP regarding the
ownership of the data.
However, the report is
shared with the MS
stakeholders and peers.
There is no standing formal
signed agreement. The Project
conducts and reports data to
NMEC & PMI.
Currently there is no formal
agreement with MOH/NMCP
regarding ownership of data but
the project generates the report
which is shared with NMCP and
other various stakeholders.
PMI involvementFully involved. Provides 100% of
the budget.
USAID PSM activity
manager participates in
EUV preparation or
training sessions and
presentation of the EUV
reports to stakeholders
and partners.
USAID /Malaria Specialist
contribute to EUV preparations
and recommend that data must
be collected at community level
.He also participated the EUV
workshop results dissemination.
PMI Advisor reviews TOR
and reports, contributes to
issues identified and
follow up discussions with
EUV findings.
PMI/USAID have clear
information and support for
EUV and the reports are
shared with them.
PMI advisor informed about
activity and provided with
reports. Advisors contributes to
issued identified and follow up
discussions with EUV findings.
Fully involved and covers 70%
of the EUV cost.
TOR and results shared with the
PMI advisor. He participates in the
review of the EUV report.
The PMI advisors receive and review
EUV reports.
PMI Nigeria approves the
work plan, reviews the
EUV report and provides
feedback for revision and
areas of improvement.
The USAID PSM activity
Manager participates in
the EUV preparation or
training sessions and
the presentation of EUV
reports to stakeholders
and partners.
PMI guides the surveys. PMI
prescribed the frequency changes
and the sample reduction for
FY19. FY20 we will switch to
biannual with number with
planned 100 - 120 sites per cycle.
PMI advisors participated in the
review of the survey questions,
sampling of facilities, data
collection and analysis.
Level of follow-up
At the end of each EUV visit, a
debrief and recommend-dations
are made at each site. If a province
selected in the previous exercise is
selected in the following exercise,
the team must ensure that those
recommendations were applied.
Findings are discussed
with NMCP, at the
National Health
Committee procurement
coordination committee
and other meetings. The
findings are share with
secretariat general of
MOH for decision making.
After data analysis, EUV results
are shared and validated by EUV
technical steering committee.
Recommendations and key
corrective actions are shared
with stakeholders during the
results dissemination meeting.
At the end of each visit, a
debrief and
recommendations are
made to each site. The
districts and regional
departments are equally
debriefed and encouraged
to do follow-up of the
recommendations made
to sites. Monthly and
quarterly supportive
supervision exercises are
used to follow-up the
implementations on
malaria case
management and stock
management.
Immediate refill and/or
redistribution by the EPSA
Hub, if there is/are stock
out/ overstock. Also, the
data are used to provide
technical support for skills
and knowledge gaps at the
SDPs and EPSA.
Dissemination of EUV findings
with program and key
stakeholders to address
identified supply chain gaps
including human resource and
capacity building to improve
efficiency and commodity
security.
At the end of each EUV survey,
a debrief is made at each
county, and the MOH counter
part responsible for each
recommendations in the report
is supported or engaged for
implementation before the next
EUV survey.
During EUV visits, redistribution of
commodities is made between
overstocked and understocked/
stocked out facilities.
Recommendations are followed at
all levels, issues are discussed in
central and regional meetings.
There is continuous
communication among regional
health directorates, health
districts, PPM (Medical store), and
NMCP to improve availability of
products.
Follow up training and supervision
efforts have focused on issues such
as managing and updating stock
cards; improving physical
examination, diagnostic and clinical
data logging; correct use of mRDTs;
and correct first‐line treatment of
severe malaria.
Follow-up actions and
strategies are discussed
at regular malaria
stakeholder meetings
(National and State PSM
meetings, and National
Malaria and State Malaria
Technical Working Group
meetings). Recent major
focus is to ensure stock
availability in the pipeline;
improving record
keeping, both in stock
management and malaria
case management,
providing stock cards at
facilities lacking them.
Findings will be shared
with the NMCP,
USAID/mission, and
USAID/W. The findings
relating to case
management and
inventory status are
monitored through
routine visits. The
redistribution of stocks
and the on-site
orientation are done
during the exercise.
Other issues requiring
intervention by the
Ministry of health are
entrusted to DHO, the
OSP and the
NCTC.Follow up actions
are under NNMCP
Leadership and will be
discussed during
stakeholders' meetings
at central level.
Case Management and Stock
status findings are followed up
through routine TSS visits. Stock
redistributions and onsite
orientation is done during the
exercise. Other issues requiring
MoH action are handed over DHO,
PHO and NMEC.
With knowledge of stock outs,
redistribution and immediate
delivery of commodities to affected
facilities takes place. Management
level discussions regularly occur
among key stakeholders regarding
how to better supply facilities and
manage malaria cases in the long
term.
Cost of EUV,
including PMI's
percent contribution
and coverage of
software
The 1st EUV for FY19 was around
$68,000. The 2nd EUV for FY19
was approx $80,000. Cost was
100% PMI
$26,713 for one survey in
FY2019
($58,319) for one survey in
FY2019
1st Semester FY 19 (Oct
18 – Mar 19) : $4,690.87;
2nd semester FY 19 (Apr
19 – Sep 19) $46,626.45.
Total: $51,317.32
Around 20,000 USD semi-
annually. The number of
sites covered are 8 EPSA
warehouses, 33 Hospitals
and 45 health centers.
There is no software used
Cost: USD 67,560. PMI
contributes 33% of total cost
$84,362 for the 2 surveys
conducted in FY19
$50,190 semi-annually:
-$30,445 for training and data
collection
-$8,215 for data analysis
-$11,530 for results
dissemination workshop
$ 50,329.72 for EUV + Supervision
per quarter, with TO2 contributing
23.35%
$45,005.53 per quarter
for the training and field
activity only. PMI
contributes 100% of the
cost.This cost does not
include the LOE by staff
for data collation,
cleaning, analysis and
reporting
Approximately
$29,035.40 in FY19.
100% of which was
contributed by PMI
Approx. $44, 747.07 annual
expenditure for field collection
Grand total of $77,904 in FY2019;
100% contributed by malaria task
order
Other organizations
or projects providing
funding for EUV
GHSC-PSM TO2 fully fund the
EUV. No other organization or
project provide funding for EUV
100% TO2 funded
MoH/NMCP provides 80%
of the vehicles for data
collection
None; 100% GHSC-PSM TO2
funded
None; 100% GHSC-PSM
TO2 funded
Costs are split between
TO2 (75%) and TO4 (25%)
Cost is split between TO2
(67%), TO3 (29%), and TO4
(4%)
GHSC-PSM fully fund the EUV
with TO2 (70%), TO3 (15%),
TO4 (15%)
Cost split: 60% TO2 and 40%
TO4;
MOH staff participate in data
collection and report
dissemination
Cost split: TO1 (36.75%); TO2
(23.35%); TO3 (20.90%); TO4 (19%)
Costs are split between
TO2 (50%), TO4 (50%)TO2 (100%)
TO split: TO2 (75%), TO4 (25%).
No other organization or project
provided funding for EUV
100% TO2 funded. No other
organization or project provide
funding for EUV
Follow up funding
needed?
No follow up funds required for
EUV activity but may be required to
support post EUV issues and
identified action plans to facilitate
continuous improvement.
None
Yes follow up fundings are
required to address
recommendations and
corrective measures formulated
by the EUV report.
EUV funding available
Follow up of feedback and
gaps identified during data
collection is addressed
with regular supervision. It
doesn’t require separate/
additional funding.
No follow up funds required for
the EUV activity itself. However,
funding may be needed to
address gaps/issues identified
post EUV.
Some of the follow up activities
are being rolled into FY20 work
plan to provide hands-on
mentoring to some of the
health facilities. Requirements
around infrastructural support
not on GHSC-PSM budget.
EUV funding available. No need
for follow up
No follow up funds are needed at this
timeNone None N/A
There is no follow up needed for
EUV funding itself but follow up is
needed for activities identified
during EUV.
Angola Burkina Faso Burundi Cameroon Ethiopia Ghana Liberia Mali Mozambique Nigeria Niger Zambia Zimbabwe
Other organizations
or institutions
involved in EUV
National Directorate of Medicines
and Equipment, NMCP, General
Health Inspection
NMCP, Family Health
department. Access to
Health products, CAMEG
WHO and key MOH institutions
(DPML, CAMEBU,PNILP)
DSNIS,DPPS,IGSSLS) are
members of the technical
committee.
MOH at Central and
peripheral levels. Central:
NMCP, Directorate of
Pharmacy, Medicines and
Laboratory (DPML) and
Directorate of Disease
Control, Epidemics and
Pandemics (DLMEP).
Peripheral: Coordinator of
the Regional Technical
Groups for NMCP and
district focal point for
NMCP.
FMOH/ NMCP, RHBs and
EPSAMOH , GHS, NMCP
The NMCP, Family Health
Division (FHD) and the Supply
Chain Management Unit
(SCMU)
Ministry of Health and Public
Hygiene (MOHPH) through NMCP.
Regional Health Directorate team
participate in EUV data collection
and results dissemination. Health
district team attend results
dissemination meeting.
MoH provides data collectors for EUV
and supervision for each quarter
• National Malaria
Elimination Program
(NMEP) / FMOH
• SMOH across the 11
PMI focus states
PMI Treatment Partners:
• Integrated Health
Program Nigeria (IHP-
Nigeria)
• PMI-4-State (PMI-
S),another partner, plans
be part of the next EUV
survey
Ministry of health
through the PNLP
Ministry of Health at PHO and
DHO level and National (NMEC);
some provinces have joint visits
with PAMO.
Ministry of Health Child Care
(MOHCC) NMCP, Directorate of
Pharmacy Services, Provincial
Pharmacy Managers and
Provincial Epidemiology and
Disease Control Officers
participated in EUV training and
tool development; data collection,
and discussions of findings.
Other products
included in surveyNone Iron + Folic acid None None MNCH FP and MNCH FP and MNCH products MNCH, FP
HIV, RH, NMCH and Nutrition. In total,
data for 37 products is collectedMNCH None MNCH (twice per year) Only malaria commodities
Other information None None None None
MNCH case management,
and reporting, supervision,
and training on RMNCH
None None None None None None None CHWs
Does EUV collect
data on LLINs & folic
acid?
LLINs only Yes LLINs only Yes
No data is collected for
(LLINs) and Data is
collected for folic acid
Yes Yes LLINs only LLINs only Yes Yes but LLINS only
LLINs only (stock on hand data),
Folica acid, ORS, Zinc sulphate,
Ferrous sulphate, Oxytocine when
collecting data for MNCH
Yes. They now report on Ferrous
Sulphate 60mg + Folic Acid 0.4mg
tablets (tablet)